A client has a newly inserted tracheostomy and requires frequent assessment. Which assignment is most appropriate for the registered nurse?
Correct answer: B. The client with a new tracheostomy and changing respiratory status
- A. The client with a healed pressure injury needing a dressing change
- B. The client with a new tracheostomy and changing respiratory status
- C. The client needing assistance with bathing before breakfast
- D. The client waiting for routine removal of an intravenous catheter
Explanation
A newly inserted tracheostomy with changing respiratory status requires ongoing assessment and clinical judgement. The registered nurse should retain care of this unstable client rather than assign it to assistive personnel or a practical nurse.
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About Delegation and Assignment (NCLEX)
Delegation and assignment cover how the registered nurse allocates care according to patient stability, task complexity, staff competence and legal scope. The five rights of delegation, supervision, communication and follow-up are linked to the difference between an RN, LPN or LVN, and unlicensed assistive personnel, while accountability for overall nursing care remains with the RN.
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50 free Delegation and Assignment (NCLEX) MCQs from International Nursing Practice, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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