A nurse on a medical-surgical unit is teaching a newly licensed nurse about tasks to delegate to assistive personnel (AP). Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Explanation & Rationale
A. "An AP may monitor the peripheral IV insertion site of a client who is receiving replacement fluids." – Monitoring IV sites requires assessment skills and clinical judgment, which are within the scope of a licensed nurse, not assistive personnel. B. "An AP may count the respirations of a client who is going to have surgery later the same day." – Counting respirations is a basic task within the AP’s scope of practice. However, the nurse is responsible for interpreting the findings. C. "An AP may take orthostatic blood pressure measurements from a client who reports dizziness." – Measuring orthostatic blood pressure requires critical thinking and assessment of the client’s condition, which falls under the nurse’s responsibilities. D. "An AP may perform a central line dressing change for a client who is ready for discharge." – Performing a central line dressing change is a sterile procedure that requires nursing assessment and should be completed by a licensed nurse.