Medical Surgical Chloride #1

Question

The registered nurse is reviewing tasks to delegate. Which client may be safely delegated to unlicensed assistive personnel?

Answers

  1. A client with a femur fracture who has a serum phosphate of 5 mg/dL.
    • Rationale:

      This answer is not correct because phosphate levels may be elevated with healing fractures. A phosphate level of 5.0 mg/dL is elevated (the normal serum phosphate range is 2.8 to 4.5 mg/dL); therefore, care of this client cannot be safely delegated to the UAP.

  2. A client with dehydration who has a serum sodium level of 128 mEq/L.
    • Rationale:

      This answer is not correct because a normal serum sodium is 135 to 145 mEq/L. A serum sodium level of 128 mEq/L is decreased and may be found with dehydration; therefore, care of this client cannot be safely delegated to the UAP.

  3. A client with diarrhea who has a serum chloride level of 100 mEq/L.
    • Rationale:

      This answer is correct because the normal range of serum chloride is 95 to 105 mEq/L; therefore, care of this client can be safely delegated to the UAP because the client’s current serum chloride level is within this normal range.

  4. A client with renal failure who has a serum magnesium level of 3 mEq/L.
    • Rationale:

      This answer is not correct because a normal serum magnesium level is 1.5 to 2.5 mEq/L. A magnesium level of 3.0 mEq/L is elevated and may occur in renal failure; therefore, care of this client cannot be safely delegated to the UAP.

Overview

Delegation is defined as the process for a nurse to direct another person to perform nursing tasks and activities. A client who has been experiencing diarrhea and has a serum chloride level of 100 mEq/L can be safely delegated to the UAP because this finding is within the normal range.

Explanation

Learning Outcomes

The five rights of delegation are the right person, the right task, the right circumstance, the right directions and communication, and the right supervision and evaluation. All of these rights must be met to safely delegate a nursing task or activity to an unlicensed assistive personnel (UAP). A client who has been experiencing diarrhea and has a serum chloride level of 100 mEq/L can be safely delegated to the UAP because this finding is within the normal range.

Test Taking Tip

Consider each client and determine if the data is normal or abnormal; clients with abnormal laboratory results may be unstable and therefore care should not be delegated to the UAP.

Video Rationale