Editing Management of Care – RN Practice Questions (section)

==Question 1==
A registered nurse is working on a medical-surgical unit with an assistive personnel (AP). Which task is '''most appropriate''' for the nurse to delegate to the AP?
# Assessing a newly admitted client's risk for pressure injury.
# Reinforcing teaching about a low-sodium diet with a client who has heart failure.
# Assisting a stable client on postoperative day 3 to ambulate in the hallway.
# Obtaining the first set of vital signs on a client who has just returned from the post-anesthesia care unit.

'''Answer:''' 3. Assisting a stable client on postoperative day 3 to ambulate in the hallway.

''Rationale:'' Ambulation of a client who is stable, whose activity order is established, and whose response to ambulation is predictable is a standard, unvarying task with minimal risk, which meets the criteria for the right task and right circumstance. Option 1 is an assessment and is never delegated. Option 2 is reinforcement of teaching, which falls to a licensed nurse such as an LPN, not to unlicensed personnel. Option 4 involves a client whose condition is not yet established as stable after anesthesia; the first post-PACU vital signs are part of the receiving nurse's assessment.