A nurse has received change-of-shift report and is delegating tasks to the assistive personnel (AP). The nurse should tell the AP to complete which of the following tasks first?

Perform blood glucose monitoring of a client who has a prescription for short-acting insulin prior to breakfast.

Apply a condom catheter to a client who is incontinent.

Deliver a clean voided urine specimen to the laboratory.

Feed a client who has bilateral casts due to upper arm fractures.

Answer and Explanation

The Correct Answer is A

Rationale:

A. Performing blood glucose monitoring before breakfast is crucial for timely insulin administration and managing diabetes effectively.

B. Applying a condom catheter is important but can generally be done after more urgent tasks.

C. Delivering a clean urine specimen is important but less time-sensitive compared to blood glucose monitoring.

D. Feeding a client is important but may not be as urgent as tasks directly affecting medical management.

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Correct Answer is D

Explanation

Rationale:

A. Lean gently over the back of a chair sitting to one side of the room may appear disengaged or unprofessional.

B. Cross her arms over her chest is a closed posture that may seem defensive or unapproachable.

C. Stare at the people the announcement will affect the most can be intimidating or uncomfortable for others.

D. Sit in front of the group for the meeting and then stand for the announcement is effective for emphasizing the importance of the announcement and engaging the audience.

A. A toddler who has asthma and has a pulse oximetry reading of 95% while receiving oxygen at 2 L/min B. An adolescent who has sickle cell disease, reports pain as 7 on a scale of 0 to 10, and requests pain medication C. A toddler who has otitis media, a temperature of 39.2" C (102.6° F), and purulent ear discharge D. A school-age child who has acute epiglottitis, is drooling, and has an absence of spontaneous cough

Correct Answer is D

Explanation

Rationale:

A. A toddler with asthma and a pulse oximetry reading of 95% is stable and manageable with current oxygen therapy.

B. An adolescent with sickle cell disease is in pain but does not require immediate intervention compared to other scenarios.

C. A toddler with otitis media has a fever and discharge but is not in immediate danger.

D. A school-age child with acute epiglottitis is at high risk for airway obstruction and requires urgent care due to the drooling and absence of spontaneous cough, which are signs of a potentially life-threatening condition.

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A nurse has received change-of-shift report and is delegating tasks to the assistive personnel (AP). The nurse should tell the AP to complete which of the following tasks first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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