A nurse is delegating morning vital signs to an assistive personnel (AP). What action should the nurse take?

Correct Answer: B

Rationale: The correct answer is B because determining the time frame for reporting results is crucial in ensuring timely and effective communication of vital signs data. This step allows the nurse to promptly address any abnormal findings or changes in the patient's condition. A: Verifying the AP's educational preparation is important but not directly related to delegating morning vital signs. C: Observing the AP obtaining vital signs can be helpful for initial training but may not be necessary for every instance of delegation. D: Asking the AP to take vital signs of a post-surgery client first is not the most appropriate action as prioritization should be based on patient acuity, not the type of surgery.

Correct Answer: C

Rationale: The correct answer is C because as an RN, the responsibility should be assumed for the client who is actively dying and requires IV pain medication. This client's condition is critical and requires the expertise and assessment skills of an RN to manage pain effectively. RNs have the knowledge and training to administer IV medications safely and to monitor the client's response closely. Choices A, B, and D can be safely managed by other team members such as LPNs or assistive personnel, as they do not require the specialized skills and assessment capabilities of an RN for immediate care.

Correct Answer: B

Rationale: The correct answer is B: Demonstrate using the device and observe the staff returning the demonstration. This teaching strategy is the most effective because it incorporates both visual and hands-on learning, allowing the nurses to see the correct way to use the device and then practice it themselves under observation. This method is more engaging and interactive, leading to better retention and understanding. A: Providing a written procedure alone may not be as effective as hands-on demonstration for learning how to use a new device. C: Reminding staff to review the procedure manual is passive and may not ensure proper understanding and competency. D: Identifying differences in a written brochure may not be as effective as a demonstration in teaching the correct usage of the device.

Correct Answer: A

Rationale: The correct answer is A because holding disaster drills on a regular basis is essential for preparedness and practice. Regular drills help ensure that staff are familiar with protocols and can respond effectively during a real disaster. Choice B is incorrect because while drills are important, they cannot fully replicate the chaos and urgency of a real disaster situation. Choice C is incorrect because typically an incident commander should be a designated leader with specific training and experience in disaster management, not just a staff nurse. Choice D is incorrect because triaging victims is usually done by trained personnel such as nurses or emergency medical technicians, not necessarily by physicians.

Correct Answer: A

Rationale: The correct answer is A: Do not adjust the oxygen flow rate. It is important not to adjust the oxygen flow rate without consulting the healthcare provider, as it can lead to inadequate oxygen delivery or oxygen toxicity. Option B is incorrect because oxygen equipment should be checked daily, not weekly, for safety. Option C is incorrect as unused oxygen tanks should be stored upright to prevent damage. Option D is incorrect as wool blankets can generate static electricity, which could be a fire hazard around oxygen. Therefore, the crucial instruction for the client is to not adjust the oxygen flow rate to ensure safe and effective oxygen therapy.