A nurse has assigned an assistive personnel (AP) to perform a gastrostomy feeding for a client who has been receiving feedings at home. Which of the following actions should the nurse take to monitor the AP's performance of the task?

Tell the AP to list the steps of the task.

Instruct the AP to report back once the task is complete.

Ask the family if the AP performed the task correctly.

Request the AP to provide a return demonstration of the task.

Answer and Explanation

The Correct Answer is D

A. Telling the AP to list the steps of the task is not sufficient to ensure correct performance. It may show knowledge of the steps, but it does not ensure the AP is performing the task correctly or safely.

B. Instructing the AP to report back once the task is complete does not allow the nurse to actively observe the AP’s technique or provide feedback on performance.

C. Asking the family if the AP performed the task correctly may provide subjective input, but the nurse is responsible for assessing and ensuring the proper completion of nursing tasks.

D. Requesting the AP to provide a return demonstration of the task is the best method. This allows the nurse to directly observe the AP’s technique, correct any errors, and ensure that the task is performed according to the prescribed standards. This also serves as a valuable teaching opportunity.

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Correct Answer is A

Explanation

A. Leukorrhea is correct. Leukorrhea, a normal increase in vaginal discharge, is a common discomfort during the first trimester of pregnancy. It is typically white or clear and odorless, and is caused by hormonal changes.

B. Burning during urination is incorrect. Burning during urination is not a normal discomfort of pregnancy and could indicate a urinary tract infection (UTI), which requires further evaluation and treatment.

C. Swelling of the face is incorrect. Swelling, especially of the face, is not typical during the first trimester and could be a sign of a more serious condition, such as preeclampsia, and should be investigated further.

D. Diarrhea is incorrect. While gastrointestinal changes can occur during pregnancy, diarrhea is not typically a common discomfort of the first trimester. Constipation, on the other hand, is more common due to hormonal changes that slow down bowel motility.

A. "My partner and I will use petroleum jelly with latex condoms." B. "My partner and I will both use a condom during intercourse." C. "I will be able to remove my contraceptive sponge immediately after intercourse." D. "My partner will use condoms with spermicides, which works better."

Correct Answer is D

Explanation

A. "My partner and I will use petroleum jelly with latex condoms.": Petroleum jelly should not be used with latex condoms as it can weaken the latex material, increasing the risk of condom breakage. Water-based lubricants are recommended with latex condoms.

B. "My partner and I will both use a condom during intercourse.": This is not necessary or recommended. Only one condom is needed, and using two (male and female condom) may cause friction and increase the likelihood of breakage.

C. "I will be able to remove my contraceptive sponge immediately after intercourse.": The sponge should be left in place for at least 6 hours after intercourse to allow its spermicide to be effective. Removing it immediately could reduce the effectiveness of the contraceptive.

D. "My partner will use condoms with spermicides, which works better.": This statement demonstrates understanding. Using condoms with spermicides can be an effective form of contraception, as the spermicide helps to kill or immobilize sperm, providing an additional layer of protection.

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A nurse has assigned an assistive personnel (AP) to perform a gastrostomy feeding for a client who has been receiving feedings at home. Which of the following actions should the nurse take to monitor the AP's performance of the task?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about common discomforts during the first trimester with a client who is at 10 weeks of gestation. Which of the following examples should the nurse include?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a female client about contraception. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with the family of a client who is terminally ill about the grief process. Which of the following information should the nurse include in the teaching?

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