A registered nurse delegates positioning to unlicensed assistive personnel for a client at risk for pressure injury. Which instruction is most appropriate?
Correct answer: A. Reposition the client and report any nonblanching redness
- A. Reposition the client and report any nonblanching redness
- B. Choose a position that seems comfortable at each round
- C. Massage any reddened area until the skin appears normal
- D. Decide whether the client's risk has improved
Explanation
The nurse should give specific directions and require reporting of abnormal skin findings. Assessing pressure injury risk and determining treatment are nursing responsibilities, and reddened areas should not be massaged.
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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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