Kim is a student nurse in her final medical-surgical rotation. Her patient has a

Kim is a student nurse in her final medical-surgical rotation. Her patient has a new left forearm arteriovenous graft for dialysis. As part of her clinical assignment, Kim must select a task that could be delegated regarding the care of her patient. The instructor also requires Kim to include how she would communicate, supervise, and provide feedback to a nursing assistant. Kim describes how she could delegate the vital signs to the nursing assistant. She states that she would ask if the nursing assistant had ever taken vital signs before, ask her to demonstrate the task, clearly state how often the vital signs needed to be completed as well as parameters for the vital signs, and provide feedback on the performance.
The instructor says that she is pleased with Kim’s thoroughness and allows her to delegate the vital signs to the nursing assistant, Juanita, who accepts the task.
After 3 hours, Kim notes the patient’s graft arm has decreased pulses and is cool to the touch. She asks Juanita if she noted the same findings. The assistant responds, “I thought it was strange that you asked me to check her blood pressure on her left arm, but I figured you knew what you were doing and had checked it with your instructor.”
1. Explain what went wrong in this scenario?
2. Detail how each of the five rights of delegation (as noted in the Nursing Today book) were applied to this scenario.
3. Discuss who retains accountability for the outcome and why would this person be accountable?
4. What does the Nursing Today book say about what a registered nurse can delegate?
APA Format. Double space.