Which instruction to nursing assistive personnel (NAP) reflects the nurse's correct understanding of the NAP's role in caring for a patient receiving intravenous (IV) fluids by gravity drip?

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In the context of caring for a patient receiving intravenous (IV) fluids by gravity drip, instructing nursing assistive personnel (NAP) to notify the nurse if the IV bag has less than 100 mL left demonstrates an appropriate understanding of the NAP's role. This instruction is crucial because it ensures that the nurse is alerted in a timely manner to manage the IV fluid administration effectively. Monitoring IV fluid levels is an important task, and the NAP can help prevent interruptions in the fluid delivery that could affect the patient’s treatment.

This choice acknowledges the importance of communication and collaboration between NAP and nursing staff, which plays a vital role in patient safety and care quality. Being proactive about low fluid levels allows the healthcare team to respond quickly, ensuring the patient continues to receive their necessary fluids without delay.

Options suggesting increasing the flow rate based on the patient's discomfort or expecting the NAP to change the IV bag when it appears full do not represent the appropriate scope of practice for NAP, as they may lead to unintended consequences for the patient’s treatment. Also, while monitoring the patient's pulse is important for patient assessment, hourly checks might go beyond the responsibilities suited for NAP unless specifically assigned.

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