A case management nurse is arranging discharges for several clients. Which of the following interventions would the nurse recognize as suitable for non-skilled care?
Evaluating self-administration of insulin in a 68-year-old client with newly diagnosed diabetes mellitus
Auscultating lung sounds in a 76-year-old client with decompensated heart failure taking a diuretic
Monitoring blood pressure in an 86-year-old client with hypertension recently started on a new antihypertensive
Changing a dry dressing on a 78-year-old client with poor vision who had sustained a laceration on the lower leg
The Correct Answer is D
A. Evaluating self-administration of insulin involves assessing a client's ability to manage their medication, which requires skilled nursing assessment and education.
B. Auscultating lung sounds is a skilled nursing task involving clinical assessment of respiratory status.
C. Monitoring blood pressure is a skilled nursing task that requires clinical assessment, especially when adjusting medications.
D. Changing a dry dressing is considered non-skilled care as it primarily involves routine care and does not require advanced clinical skills. This task is appropriate for a non-skilled caregiver.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Decreasing exposure to sun is an example of primary prevention as it aims to prevent skin cancer before it occurs by reducing risk factors.
B. Conducting lead screening in children is an example of secondary prevention, as it involves early detection and intervention of potential lead poisoning.
C. Having routine mammograms is an example of secondary prevention, aimed at early detection of breast cancer before symptoms appear.
D. Screening for high blood pressure is an example of secondary prevention, focusing on early detection and management of hypertension to prevent complications.
Correct Answer is A
Explanation
A. Referring the client to a social worker is the most appropriate action, as social workers are trained to assist with financial issues, access to resources, and support for medication costs.
B. While suggesting employment opportunities might be helpful in the long term, it does not directly address the immediate need for medication affordability.
C. Nonpharmacological strategies are beneficial but do not resolve the immediate issue of medication access.
D. Budgeting suggestions may be helpful, but they do not directly address the issue of acquiring necessary medications or financial assistance.
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