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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

The purpose of the stool guaiac test, also known as the fecal occult blood test (FOBT), is to identify the presence of hidden or occult blood in the stool. This test is commonly performed to screen for gastrointestinal bleeding, which can indicate various conditions such as colorectal cancer, ulcers, polyps, or other sources of bleeding in the digestive tract.

The other options mentioned are not specifically detected by the stool guaiac test:

Parasites: The stool guaiac test does not directly detect parasites in the feces. Parasite testing requires a different type of analysis, such as microscopic examination or specialized laboratory tests.

Bacteria: The stool guaiac test does not specifically detect bacteria in the feces. If a bacterial infection is suspected, other diagnostic tests such as stool culture or polymerase chain reaction (PCR) may be ordered.

Fat: The stool guaiac test is not designed to detect fat in the feces. If there is a concern about fat malabsorption, other tests such as fecal fat analysis or Sudan stain may be used.

Correct Answer is ["25"]

Explanation

To calculate the infusion rate in drops per minute (gtt/min), we can use the following formula: Infusion rate (gtt/min) = (Volume to be infused (ml) * Drop factor) / Time (min) Given:

Volume to be infused: 100 ml

Drop factor: 60 gtt/ml

Time: 4 hr

First, we need to convert the time from hours to minutes:

4 hr * 60 min/hr = 240 min

Now, we can calculate the infusion rate:

Infusion rate (gtt/min) = (100 ml * 60 gtt/ml) / 240 min

Simplifying the equation:

Infusion rate (gtt/min) = 6000 gtt / 240 min

Dividing both sides:

Infusion rate (gtt/min) ≈ 25 gtt/min

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for a stool guaiac test. The client asks the nurse about the purpose of the test. The nurse should respond by stating that the stool guaiac is testing for which of the following findings in the client's feces?

Correct Answer is A

Explanation

A nurse is preparing to administer 0.9% sodium chloride (NS) 100 mL IV to infuse over 4 hr. The drip factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number.)

Correct Answer is ["25"]

Explanation

A nurse is reinforcing teaching about cimetidine with a client who has peptic ulcer disease. Which of the following information should the nurse include in the teaching?

A nurse is preparing to administer liquid famotidine 20 mg PO every 6 hr for GERD. Available is famotidine 40 mg/5 ml. How many ml. should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a client who is taking furosemide. For which of the following adverse effects should the nurse monitor?

A nurse is planning care for a client who has a peptic ulcer and a new prescription for sucralfate 2 gm administered twice daily. Which of the following times should the nurse plan to administer the medication?

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?

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A charge nurse overhears a newly licensed nurse providing instructions to a female client on the proper steps to collect a midstream urine specimen. Which of the following statements made by the newly licensed nurse requires the charge nurse to intervene?