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. Palliative focuses on relieving symptoms and improving quality of life of patients and not aggressive treatment. This statement reflects an accurate understanding of palliative care.
B. Palliative care focuses on providing relief from the symptoms and stress of a serious illness, with the goal of improving quality of life for both the patient and the family. It is appropriate at any age and at any stage in a serious illness and can be provided alongside curative treatment.
C. Hospice care is typically for clients expected to live six months or less, not a year or more. This statement reflects a misunderstanding of hospice care criteria.
D. Hospice care can be provided in various settings, including hospitals, and is not restricted to home care only. This statement indicates a lack of understanding of the flexibility of hospice care services.
Correct Answer is ["A","C","D"]
Explanation
A. Music therapy is known to provide comfort and relaxation, making it a suitable complementary therapy in hospice care.
B. Ibuprofen is a medication for pain and inflammation but is not classified as a complementary therapy.
C. Guided imagery can help manage pain and anxiety, providing comfort in a hospice setting.
D. Massage can help alleviate discomfort and promote relaxation, making it beneficial in hospice care.
E. Acetaminophen is a medication for pain relief but is not a complementary therapy.
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