Fairly easy

Which activity can an RN delegate to a trained nursing assistant while retaining responsibility for nursing assessment?

Correct answer: C. Obtain routine vital signs for a stable patient

  • A. Determine the cause of a new confusion
  • B. Teach a patient how to use an inhaler
  • C. Obtain routine vital signs for a stable patient
  • D. Develop nursing diagnoses from assessment findings

Explanation

Routine vital signs for a stable patient may be delegated, with clear instructions to report abnormal findings. Assessment, nursing diagnosis and patient teaching require nursing judgement and remain the RN's responsibility.

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About Nursing Process and Health Assessment

Assessment gathers subjective and objective data through health history, physical examination and observation. The nursing process then uses nursing diagnoses, planning, implementation and evaluation to provide individualised care, while distinguishing a nursing diagnosis from a medical diagnosis and identifying priorities such as airway, breathing, circulation and safety.

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