A charge nurse is reviewing the list of tasks that have been delegated to the assistive personnel (AP) by the staff nurse. Which of the following tasks should the charge nurse reassign to a licensed nurse?
Removing and cleaning the cannula of a client who has a new tracheostomy
Providing a back rub to a client who has right-sided paralysis
Transporting a client who experienced a stroke 72 hr ago to the radiology department
Performing oral hygiene for a client who is 1 day postoperative following an amputation of the right arm
The Correct Answer is A
A. Removing and cleaning the cannula of a tracheostomy requires specialized training and should be performed by a licensed nurse or respiratory therapist.
B. Providing a back rub is within the scope of practice for assistive personnel and does not require specialized training.
C. Transporting a client to the radiology department does not require specialized nursing skills and can be safely performed by assistive personnel.
D. Performing oral hygiene for a client postoperative following an amputation does not require specialized nursing skills and can be safely performed by assistive personnel.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Instructing the client to exhale slowly can help relax the pelvic floor muscles, making catheter insertion more comfortable.
B. Contracting the pelvic muscles (bearing down) would be counterproductive as it could cause resistance and make catheter insertion more difficult.
C. Bearing down (pushing) should be avoided as it can increase resistance and make catheter insertion more challenging.
D. Taking a sip of water is not typically necessary or indicated during urinary catheter insertion.
It is more important for the client to focus on relaxation techniques such as slow exhalation to aid in catheter insertion.
Correct Answer is D
Explanation
A. Hepatotoxic medications can contribute to liver damage but are not a primary cause of biliary cirrhosis. However, they can contribute to cirrhosis through other mechanisms.
B. Hepatitis C is a viral infection that primarily affects the liver and can lead to cirrhosis, but it is not specifically classified as a cause of biliary cirrhosis.
C. Excessive alcohol consumption can cause alcoholic liver disease, which may progress to
cirrhosis, but it is not directly related to biliary cirrhosis, which is characterized by damage to the bile ducts.
D. Biliary cirrhosis, also known as primary biliary cirrhosis (PBC) or primary biliary cholangitis (PBC), is a chronic liver disease characterized by progressive destruction of the bile ducts in the liver. Obstruction of the bile ducts contributes to the development of biliary cirrhosis.
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