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 C
Explanation
A. While fats are an essential part of the diet, they should not provide the majority of calories, especially in a diabetic diet.
B. While protein is important, it should not be the main source of calories in the diet for someone with diabetes.
C. Complex carbohydrates, such as whole grains, fruits, and vegetables, should provide the majority of calories in a diabetic diet as they have a lesser impact on blood sugar levels compared to simple sugars.
D. Simple sugars should be limited in a diabetic diet as they can cause rapid spikes in blood sugar levels.
Correct Answer is B
Explanation
A. A fruity odor on the client's breath is a symptom of diabetic ketoacidosis (DKA), a complication of hyperglycemia, not hypoglycemia.
B. Tremors are a common manifestation of hypoglycemia and are caused by the activation of the sympathetic nervous system in response to low blood sugar levels.
C. Vomiting is not a typical manifestation of hypoglycemia. It is more commonly associated with hyperglycemia or other gastrointestinal issues.
D. Bradycardia (slow heart rate) is not a typical manifestation of hypoglycemia. In fact,
tachycardia (rapid heart rate) is more common as a compensatory response to low blood sugar levels.
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