A charge nurse planning care for a group of clients is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP?
Administer an enteral feeding to a client who has a new gastrostomy tube.
Measure the output from a client's indwelling urinary catheter.
Evaluate a client's pain level 30 min after receiving an oral analgesic.
Reinforce foot care to a client who has a new diagnosis of diabetes mellitus.
The Correct Answer is B
Measuring the output from an indwelling urinary catheter is within the scope of practice for an assistive personnel (AP). It involves a straightforward task that does not require specialized nursing knowledge or judgment.
The other tasks mentioned should not be delegated to an AP:
Administer an enteral feeding to a client who has a new gastrostomy tube: Administering enteral feedings requires specialized knowledge and training to ensure proper placement and administration. This task should be performed by a licensed nurse.
Evaluate a client's pain level 30 min after receiving an oral analgesic: Evaluating pain level and the effectiveness of pain management requires nursing assessment and judgment. This task should be performed by a licensed nurse.
Reinforce foot care to a client who has a new diagnosis of diabetes mellitus: Providing education and reinforcing foot care to a client with a new diagnosis of diabetes requires
specialized knowledge about the disease and its management. This task should be performed by a licensed nurse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A,B,C,D,E
Explanation
When removing personal protective equipment (PPE) after caring for a client in contact isolation, the nurse should follow the steps in the following order:
1. Remove gloves.
2. Remove protective eyewear.
3. Remove gown.
4. Remove mask.
5. Perform hand hygiene.
By following this sequence, the nurse ensures that the removal of PPE is done in a way that minimizes the risk of contamination. Removing gloves first helps prevent the spread of potential contaminants on the hands. Removing protective eyewear next avoids any potential contact with the face or eyes during the removal process. Removing the gown comes next, followed by the mask. Lastly, performing hand hygiene after removing all PPE helps ensure the hands are thoroughly cleaned.
Correct Answer is ["A","D"]
Explanation
From the given statements, the nurse can identify the following statements as indicating the effectiveness of cimetidine treatment:
"I don't have as much heartburn after I eat anymore.": Cimetidine is a histamine-2 receptor antagonist commonly used to reduce stomach acid production. Decreased heartburn after eating suggests that the medication has been effective in reducing excessive acid production and relieving heartburn symptoms.
"I can sleep while lying flat again.": Cimetidine can help alleviate symptoms of gastroesophageal reflux disease (GERD) by reducing stomach acid. Improved ability to sleep while lying flat suggests that the medication has successfully reduced acid reflux and related symptoms.
The following statements do not directly indicate the effectiveness of cimetidine treatment: ● "I noticed that I have had less urge to smoke lately."
● "I occasionally have stomach pain and dark stools."
● "I have not been as dizzy as I was before."
These statements may be unrelated to the effects of cimetidine or may require further assessment to determine their significance. It's important for the nurse to address any concerns or symptoms mentioned by the client and evaluate their overall response to the medication
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