Difficulty: Medium
Average Score: 65%
Simulated
A nurse is caring for a client who has fluid volume overload. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?
Correct answer
C
Rationale
The correct answer is C: Measure the client's daily weight. This task can be delegated to an assistive personnel (AP) because it does not require specialized knowledge or skills. Daily weight monitoring is a routine and non-invasive procedure that helps in assessing fluid volume status. The nurse can provide clear instructions to the AP on how to accurately measure and record the client's weight.
Palpating the degree of edema (A) requires assessment skills and interpretation, making it a nursing responsibility. Regulating IV pump fluid rate (B) involves adjusting medication delivery based on the client's condition, which is within the nurse's scope of practice. Assessing vital signs (D) is a critical nursing task that requires clinical judgment and immediate intervention if abnormalities are detected.
Palpating the degree of edema (A) requires assessment skills and interpretation, making it a nursing responsibility. Regulating IV pump fluid rate (B) involves adjusting medication delivery based on the client's condition, which is within the nurse's scope of practice. Assessing vital signs (D) is a critical nursing task that requires clinical judgment and immediate intervention if abnormalities are detected.