Difficulty: Medium
Average Score: 63%
Simulated
A nurse is delegating care for a group of four clients. Which of the following tasks should the nurse delegate to an assistive person?
Correct answer
B
Rationale
Correct Answer: B - Obtain a daily weight on a client who has heart failure.
Rationale: Daily weight monitoring is a routine task that can be safely delegated to an assistive person as it does not involve complex skills or critical thinking. It is important in managing heart failure to monitor for fluid retention, which can be indicated by weight gain. This task can be easily taught and supervised by the nurse.
Summary:
- A (Performing a dressing change): This task involves specialized skills and assessment to prevent complications, which should be done by a nurse.
- C (Teaching incentive spirometer use): Requires education and assessment to ensure correct technique, which is within the nurse's scope.
- D (Administering pain medication): Involves assessment, monitoring for side effects, and dosage adjustments, which require nursing judgment and knowledge.
Rationale: Daily weight monitoring is a routine task that can be safely delegated to an assistive person as it does not involve complex skills or critical thinking. It is important in managing heart failure to monitor for fluid retention, which can be indicated by weight gain. This task can be easily taught and supervised by the nurse.
Summary:
- A (Performing a dressing change): This task involves specialized skills and assessment to prevent complications, which should be done by a nurse.
- C (Teaching incentive spirometer use): Requires education and assessment to ensure correct technique, which is within the nurse's scope.
- D (Administering pain medication): Involves assessment, monitoring for side effects, and dosage adjustments, which require nursing judgment and knowledge.