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 B
Explanation
A. The trend is actually increasing for older adults wishing to be cared for at home rather than decreasing.
B. There is a growing trend for older adults to seek hospice care to manage symptoms and improve quality of life at the end of life.
C. Despite the increase in hospice care, older adults still frequently die in hospitals due to various factors, but this is gradually changing.
D. Trends show that older adults are spending less time in hospitals and more in home-based or hospice care.
Correct Answer is B
Explanation
A. A 72-year-old client with a leg cast may need short-term care or rehabilitation rather than long-term placement in an assisted living community.
B. An 86-year-old client with poor vision who lives alone would benefit from an assisted living community, as these facilities can provide assistance with daily activities and offer safety and social support.
C. An 82-year-old client with terminal lung cancer who is on hospice would be more appropriately placed in a hospice care setting rather than assisted living, as hospice care focuses on end-of-life care.
D. A 78-year-old client who is bedridden following a stroke would require a higher level of care than what is typically provided in an assisted living community and might be better suited for a skilled nursing facility.
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