A registered nurse is planning care for a client with a newly created ileostomy. Which activity should the registered nurse retain?
Correct answer: C. Inspecting the stoma for colour and perfusion
- A. Emptying the appliance when it is half full
- B. Measuring the output collected during a shift
- C. Inspecting the stoma for colour and perfusion
- D. Helping the client change clothing after care
Explanation
Inspecting a new stoma requires assessment and interpretation of findings such as colour and perfusion. Routine emptying, measurement, and assistance with clothing may be delegated for a stable client.
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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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