The registered nurse is delegating several tasks to other staff members. Which of the following is an example of inappropriate delegation?
1. The certified nursing assistant is taking vital signs on the client receiving a transfusion of packed red blood cells.
2. The certified nursing assistant is sent to the pharmacy to retrieve a medication for a client.
3. The unit secretary is printing the client's most recent laboratory results for the physician.
4. The certified nursing assistant is interpreting the results of the laboratory results and requesting a change in physician's orders for the client based on these results.
Answer: 4
Rationale: Delegation can be used by a nurse to ensure that the work of the unit is completed on time. The registered nurse should oversee or manage the work. When activities are inappropriately delegated to the wrong staff members, it can result in legal issues. The nurse should ensure that the tasks that are delegated are an appropriate fit for the staff member based on the nurse's skill set, title, and the associated job description. It is appropriate to allow the certified nursing assistant to obtain vital signs. The registered nurse can interpret the meaning of the vital signs. The certified nursing assistant can retrieve medications for the nurse to give to the client. The unit secretary can print reports for the physician to examine. The registered nurse is in charge of managing the care of the client. The registered nurse is the only staff member who should be analyzing and interpreting the laboratory results of a client. The registered nurse can request specific phsyician's order changes from the physician regarding the laboratory test results.
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