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    RN Comprehensive predictor 2023 proctored exam

    A nurse is assigning client care tasks to an assistive personnel (AP) for the upcoming shift. Which of the following tasks is within the AP's scope of practice?

    Explanation & Rationale

    A. Interpret the client's need for pain medication: Determining the need for analgesia requires professional nursing judgment and assessment, which is outside the AP’s scope of practice. The nurse must evaluate pain and make medication decisions. B. Change a sterile dressing on a client's open incisional wound: Sterile dressing changes involve invasive procedures and assessment of wound healing, which are nursing responsibilities. APs can assist with non-sterile care but cannot perform sterile interventions independently. C. Educate a client on the use of a glucometer: Patient education involves teaching, assessing understanding, and clinical judgment, all of which require nursing expertise. APs can reinforce teaching but cannot independently instruct clients on medical device use. D. Perform cardiopulmonary resuscitation on a client: CPR is a basic life-saving procedure that APs are trained and authorized to perform in emergencies. This task falls within the AP’s scope of practice and can be done under general supervision until advanced help arrives.

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