A nurse is assigning client care tasks to an assistive personnel (AP) for the upcoming shift. Which of the following tasks is within the AP's scope of practice?

Interpret the client's need for pain medication.

Change a sterile dressing on a client's open incisional wound.

Educate a client on the use of a glucometer.

Perform cardiopulmonary resuscitation on a client.

Answer and Explanation

The Correct Answer is D

A. Interpret the client's need for pain medication: Determining the need for analgesia requires professional nursing judgment and assessment, which is outside the AP’s scope of practice. The nurse must evaluate pain and make medication decisions.

B. Change a sterile dressing on a client's open incisional wound: Sterile dressing changes involve invasive procedures and assessment of wound healing, which are nursing responsibilities. APs can assist with non-sterile care but cannot perform sterile interventions independently.

C. Educate a client on the use of a glucometer: Patient education involves teaching, assessing understanding, and clinical judgment, all of which require nursing expertise. APs can reinforce teaching but cannot independently instruct clients on medical device use.

D. Perform cardiopulmonary resuscitation on a client: CPR is a basic life-saving procedure that APs are trained and authorized to perform in emergencies. This task falls within the AP’s scope of practice and can be done under general supervision until advanced help arrives.

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Correct Answer is D

Explanation

A. "The item serving size is consistent from one manufacturer to the next.": Serving sizes can vary between different manufacturers and products. Clients should read the label carefully for the specific serving size of each item, as it is not standardized across brands.

B. “The daily values relate to a 1,500-calorie diet.": Daily values on nutrition labels are based on a 2,000-calorie diet, not 1,500 calories. Understanding this helps clients interpret percentages correctly in the context of their individual dietary needs.

C. "Food manufacturers provide nutrition information voluntarily.": Nutrition labeling is required by law for most packaged foods. It is not voluntary, and clients should understand that these labels are standardized and regulated.

D. "The ingredient with the greatest weight appears first.": Ingredients on nutrition labels are listed in descending order by weight. The first ingredient is present in the largest amount, which helps clients make informed choices about food composition.

A. Ecomaps B. Geographic boundaries C. Needs assessments D. Care maps

Correct Answer is C

Explanation

A. Ecomaps: Ecomaps are visual tools that depict the social and family relationships of an individual or household. They are used in nursing assessments at the family or individual level, not typically in community health report cards.

B. Geographic boundaries: While geographic boundaries may be referenced in a community health report, they are not a primary feature of the report card itself. Boundaries help define the community, but the report card focuses on population health data and outcomes.

C. Needs assessments: Community health report cards summarize data regarding the health status, risks, and needs of a population. Needs assessments identify gaps in services, priority health issues, and areas for intervention, making them a key component of the report card.

D. Care maps: Care maps are individualized or population-based plans that outline interventions for specific diagnoses or conditions. They are tools for planning care, not typically included in the summary findings of a community health report card.

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A nurse is assigning client care tasks to an assistive personnel (AP) for the upcoming shift. Which of the following tasks is within the AP's scope of practice?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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