Difficulty: Medium
Average Score: 69%
Simulated
Passage / Scenario
Client with end-stage bone cancerA nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage bone cancer to an experienced assistive personnel. Which of the following assessments should the nurse make before delegating care?
Correct answer
C
Rationale
The correct answer is C. Before delegating care, the nurse should assess if data has been collected about specific client needs related to turning. This includes knowing any mobility restrictions, skin integrity issues, risk for pressure ulcers, and any other individualized needs of the client. This assessment ensures that the assistive personnel can provide safe and appropriate care tailored to the client's condition.
Choice A is incorrect because the presence of the client's family is not a necessary assessment before delegating care. Choice B is incorrect as changing the central IV line dressing is not directly related to bathing and turning the client. Choice D is incorrect as checking the client's pain level is important but not the primary assessment needed before delegating care in this scenario.
Choice A is incorrect because the presence of the client's family is not a necessary assessment before delegating care. Choice B is incorrect as changing the central IV line dressing is not directly related to bathing and turning the client. Choice D is incorrect as checking the client's pain level is important but not the primary assessment needed before delegating care in this scenario.