Editing Anatomy and Physiology – RN Practice Questions (section)

==Question 7==
A nurse is planning care for a group of patients with the assistance of a licensed practical nurse and an assistive personnel. Which task is '''most appropriate''' for the registered nurse to delegate to the assistive personnel?
# Measuring and recording hourly urine output for a patient receiving a diuretic infusion.
# Performing the initial neurologic assessment on a newly admitted patient with a head injury.
# Determining whether a patient's crackles have worsened since the previous shift.
# Deciding whether a patient with new confusion requires an oxygen saturation recheck and provider notification.

'''Answer:''' 1 (A). Measuring and recording hourly urine output.

''Rationale:'' Delegation follows the rule that assessment, evaluation, teaching, and clinical judgment remain with the registered nurse, while stable, standardized data collection tasks with predictable outcomes may be delegated. Measuring and recording urine output is a measurement task within assistive personnel scope, although the registered nurse retains responsibility for interpreting whether output below 30 mL per hour signals inadequate renal perfusion. Options 2 and 3 require assessment skills and clinical interpretation. Option 4 requires clinical judgment about a neurologic change that may represent hypoxia, which is a registered nurse responsibility.