A nurse manager is providing an inservice program about delegation to assistive personnel (AP) with staff nurses on the unit. Which of the following statements by a staff nurse indicates an understanding of the teaching?

Correct Answer: C

Rationale: The correct answer is C because considering the AP's level of experience is a crucial aspect of delegation. By understanding the AP's competence, the nurse can assign tasks appropriately, ensuring safe and effective care delivery. This promotes accountability and quality outcomes. Statement A is incorrect because the nurse retains accountability for client outcomes even when delegating tasks. Statement B is incorrect as client education should be provided by licensed professionals. Statement D is incorrect as delegation should be done by the nurse based on the AP's competency level, not by the AP themselves.

Correct Answer: D

Rationale: The correct answer is D because it involves conflict between individuals (experienced nurse vs. newly licensed nurse), making it interpersonal conflict. This conflict arises from uncivil behavior, impacting their professional relationship. In contrast: A: Disagreement on client weights is a task-related conflict, not interpersonal. B: Uncertainty about joining an organization is an internal conflict, not interpersonal. C: Preference for patient assignments based on personal circumstances is not directly interpersonal conflict.

Correct Answer: C

Rationale: The correct answer is C: Measure and record intake and output for a client. This task can be safely delegated to an assistive personnel (AP) because it is a routine, non-invasive task that does not require critical thinking or nursing judgment. APs are trained to measure and record intake and output accurately under the supervision of a nurse. This task helps monitor a client's fluid balance and is important for assessing their overall health status. Choices A, B, and D are incorrect: A: Perform wound irrigation for a client - This task involves a higher level of skill and requires assessment and decision-making, making it inappropriate for delegation to an AP. B: Evaluate pain relief for a client following the administration of a pain medication - This task requires nursing judgment and assessment of the client's response to pain medication, which should be done by a nurse. D: Teach a client about low-sodium foods - Client education involves providing accurate information, assessing understanding, and addressing individual needs, which require

Correct Answer: B

Rationale: The correct answer is B because ibuprofen tablets can cause severe toxicity if not removed promptly. Gastric lavage helps remove the ingested drug before it is fully absorbed, reducing its effects. Infants with botulism (choice A) require supportive care, not gastric lavage. Swallowing powdered plant food (choice C) may cause irritation but typically does not require gastric lavage. Ingesting vitamins (choice D) generally does not necessitate gastric lavage unless they are in a toxic amount.

Correct Answer: B

Rationale: The correct answer is B: Backward, so child faces the seat. Infants should always be placed in a rear-facing car seat as it provides the best protection in the event of a crash, supporting their head, neck, and spine. This position helps distribute crash forces evenly and reduces the risk of serious injury. Facing the seat also prevents the infant from being thrown forward in a sudden stop or collision. Choice A is incorrect because forward-facing seats are not safe for infants. Choice C is incorrect as side-facing positions are dangerous. Choice D is incorrect as infants should never be placed lying on their back in a car seat installed sideways.