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 D
Explanation
A. Calcium levels may be low in acute pancreatitis due to calcium binding with fatty acids released from damaged pancreatic cells, but elevation is not typically expected.
B. Magnesium levels are not typically affected in acute pancreatitis.
C. RBC count is not directly affected by acute pancreatitis unless there are complications such as hemorrhage.
D. Amylase is typically elevated in acute pancreatitis due to leakage from damaged pancreatic cells into the bloodstream. This elevation helps in the diagnosis of acute pancreatitis.
Correct Answer is ["A","B"]
Explanation
A. Monitoring abdominal girth is important in clients with cirrhosis to assess for ascites, which is a common complication. Changes in abdominal girth can indicate fluid accumulation.
B. Implementing a low-sodium diet is important in managing cirrhosis and preventing complications such as ascites and fluid retention.
C. Administering furosemide may exacerbate electrolyte imbalances in clients with cirrhosis and is not typically indicated unless specifically prescribed by the healthcare provider for managing fluid retention.
D. Administering warfarin may increase the risk of bleeding in clients with cirrhosis due to
impaired liver function and coagulopathy. Warfarin use in cirrhosis requires careful monitoring and is not typically a standard treatment unless indicated for specific conditions such as
thrombosis.
E. Encouraging eating raw or undercooked shellfish, fish, and meat is contraindicated in clients with liver disease due to the risk of bacterial and parasitic infections, which can lead to further complications.
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