The RN asked a nursing assistant to monitor several postoperative patients. Which of the following instructions to the nursing assistant demonstrate appropriate delegation?
a. "Take vital signs every 2 hours, and report to me anything outside of the norms."
b. "Assess pain using a 10-point scale, and record the score on the chart."
c. "Record the urine output, and report to me if they have not voided within 4 hours."
d. "Record the amount of drainage on the dressing on the bedside record."
ANS: C
A
The nursing assistant is told to report "anything outside of the norms." An RN should not assume that the nursing assistant knows the specific norms the RN is referring to.
B
The nursing assistant should know if there are specific scores that the RN wishes to know about.
C
This is the most appropriate instruction because the nursing assistant not only knows what to do but also what specific information to report.
D
The RN needs to know the amount of drainage to determine whether any further actions are needed.
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