Difficulty: Medium
Average Score: 80%
Simulated
Passage / Scenario
A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage bone cancer to an experienced assistive personnel (AP).Which of the following assessments should the nurse make before delegating care?
Correct answer
C
Rationale
The correct answer is C: Has the AP checked the client's pain level prior to turning her? This is important because assessing the client's pain ensures that the delegated task of turning the client will not cause any discomfort or harm. Checking pain levels is crucial for maintaining client safety and comfort.
Incorrect choices:
A: Has data been collected about specific client needs related to turning? - While important, this information may not directly impact the immediate delegation of care.
B: Does the AP have time to change the client's central IV line dressing after turning her? - Time availability is important but not as critical as ensuring the client's comfort and safety.
D: Is the client's family present so the AP can show them how to turn the client? - Involving the family is valuable but not a necessary assessment before delegating care.
Incorrect choices:
A: Has data been collected about specific client needs related to turning? - While important, this information may not directly impact the immediate delegation of care.
B: Does the AP have time to change the client's central IV line dressing after turning her? - Time availability is important but not as critical as ensuring the client's comfort and safety.
D: Is the client's family present so the AP can show them how to turn the client? - Involving the family is valuable but not a necessary assessment before delegating care.