A nurse and assistive personnel (AP) are caring for a client who requests a PRN pain medication. After the nurse administers the medication, which of the following tasks should the nurse assign to the AP?

Document the client's respiratory rate in 1 hr.

Monitor the client for an allergic reaction for 30 min.

Check the client's response to the medication in 1 hr.

Evaluate the client for therapeutic eﬀects in 30 min.

Answer and Explanation

The Correct Answer is A

After the nurse administers a PRN pain medication to a client, the nurse can assign the assistive personnel (AP) to document the client's respiratory rate in 1 hour. This is within the scope of practice of an AP.

The other tasks are not appropriate for an AP to perform.

Monitoring the client for an allergic reaction and evaluating the client for therapeutic eﬀects are both nursing assessments that should be performed by the nurse.

Checking the client's response to the medication is also a nursing assessment that should be performed by the nurse.

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Correct Answer is B

Explanation

Cloudy vision is a symptom of cataracts. Cataracts occur when the lens of the eye becomes cloudy, causing visual disturbances such as cloudy or blurry vision.The other options are not typical symptoms of cataracts.

a) Sudden dimmed vision may be a symptom of other eye conditions.

c) Intermitent ﬂashes of light (option c) may be a symptom of other eye conditions such as retinal detachment.

d) Pain in the eyes (option d) is not a typical symptom of cataracts.

A. Amniotic ﬂuid color B. The client's temperature C. Frequency of contractions D. Fetal heart rate

Correct Answer is D

Explanation

The priority data for the nurse to collect following an amniotomy is the fetal heart rate. This is an important nursing intervention to assess fetal well-being and identify any potential complications.

a) Assessing the color of the amniotic ﬂuid is important, but it is not the highest priority.

b) Monitoring the client's temperature is important, but it is not the highest priority.

c) Assessing the frequency of contractions is important, but it is not the highest priority.

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A nurse and assistive personnel (AP) are caring for a client who requests a PRN pain medication. After the nurse administers the medication, which of the following tasks should the nurse assign to the AP?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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