Answer to Question 1
ANS: B
Delegation is the transfer of responsibility for performing a task to another person while the nurse who delegated the task still remains accountable. Obtaining vital signs, bathing, and ambulating are all tasks associated with the Assessment part of the nursing process. The nursing process cannot be delegated.
Answer to Question 2
ANS: D
A primary care provider (PCP) may refer a patient to a medical or surgical specialist for further assessment, testing, or treatment. Referrals for specialized services can support and protect patients. Nurses are often instrumental in initiating these types of referrals. For instance, if a patient is experiencing extreme anxiety during chemotherapy treatments, the nurse may set up a referral with the music therapist to assist the patient with relaxation. Nurses initiate referrals for specific dietary requests and adaptive care devices, such as bedside commodes or specialized beds, depending on the patient's unique circumstances. In collaboration with social services, a nurse may refer discharged patients to community agencies that provide in-home assistive services. Some referrals may require the order of a physician or an advanced practice nurse, such as a referral to a dermatologist.
The general survey includes assessing every patient for signs of distress.
Assessment of Cutaneous Hypersensitivity, Lift a Fold of Skin Away from the Underlying Muscle
Dehydration Signs
Factors affecting vital signs of older adults
Nursing history for nail assessment