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Shock types

A client is 3 days postoperative after an open bowel resection and is in stable condition. Which tasks can the registered nurse (RN) delegate to assistive personnel (AP)? Select all that apply.

  1. AMeasuring and recording the client's oral intake and urine output
  2. BTeaching the client how to splint the incision when coughing
  3. CAssisting the client to walk in the hallway
  4. DEvaluating the client's pain relief 30 minutes after an IV opioid dose
  5. EObtaining and recording the client's vital signs
  6. FInspecting the incision for signs of infection
Show answer and explanations

Answer

A, C, E

A: Routine measured intake and output can be assigned to trained personnel for a stable client. B: Initial teaching requires nursing judgment. C: Routine assisted ambulation can be assigned after assessment and competence verification. D: Evaluating an opioid response requires nursing judgment. E: Routine vital sign collection can be assigned with reporting parameters. F: Incision assessment requires nursing judgment.

A

Routine measured intake and output can be assigned to trained personnel for a stable client.

B

Initial teaching requires nursing judgment.

C

Routine assisted ambulation can be assigned after assessment and competence verification.

D

Evaluating an opioid response requires nursing judgment.

E

Routine vital sign collection can be assigned with reporting parameters.

F

Incision assessment requires nursing judgment.

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ID: Q02