Safe, Effective Care Environment
2. Which client is most appropriate for an RN to delegate to a CNA?
Safe, Effective Care Environment
2. Which client is most appropriate for an RN to delegate to a CNA?
. A client who is 3 days post–abdominal surgery with decreased breath sounds.
. A client who is 8 hours postop thyroidectomy with decreased blood pressure.
. A client who is stable, 4 days post–gunshot wound with abdominal wound dehiscence.
. A client who is 2 days post-thoracotomy on an epidural fentanyl drip.
Test-Taking Tip
Choose the client who is most stable—a client who needs assistance, but not assessment and monitoring.
Content Area: Management of Care, Delegation; Integrated Process: Nursing Process, Analysis; Cognitive Level: Application; Client Need/Subneed: Safe and Effective Care Environment/Management of Care/Delegation
Safe, Effective Care Environment
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Answer 1 is correct because the CNA could encourage use of the incentive spirometer and ambulate the client as ordered in a client who is postoperative GI surgery and needs routine help with postoperative self-care (breathing exercises). Answer 2 is incorrect because this client is unstable. Hemorrhage is a risk. Answer 3 is incorrect because dehiscence may be followed by evisceration. Close assessment is needed. Answer 4 is incorrect because the RN must assess and monitor epidural analgesia.