A nurse is assisting with planning care for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel?

Changing the dressing on a client's IV site

Suctioning a client's new tracheostomy

Evaluating a client's risk for developing pressure injuries

Administering a large-volume enema to a client

Answer and Explanation

The Correct Answer is A

A (Correct): Changing the dressing on a client’s IV site is a task that can be safely delegated to assistive personnel (AP). It is a routine procedure that does not require complex nursing judgment. AP can be trained to perform this task under the supervision of a nurse.
B: Suctioning a client’s new tracheostomy involves assessing the patient’s airway, monitoring for complications, and making clinical decisions. This task requires nursing expertise and should not be delegated to AP.
C: Evaluating a client’s risk for developing pressure injuries involves assessing skin integrity, mobility, and other factors. This assessment requires nursing knowledge and clinical judgment, making it inappropriate for delegation to AP.
D: Administering a large-volume enema involves assessing the patient’s condition, considering contraindications, and monitoring for adverse effects. This task requires nursing judgment and should not be delegated to UAP.

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Correct Answer is A

Explanation

A. An elevated serum calcium level (hypercalcemia) can indicate a complication of total parenteral nutrition, such as hypercalcemia resulting from excess calcium supplementation in the
TPN solution, which can lead to complications such as renal calculi and cardiac dysrhythmias.
B. The blood urea nitrogen (BUN) level within the normal range does not indicate a complication related to total parenteral nutrition.
C. The serum potassium level within the normal range does not indicate a complication related to total parenteral nutrition.
D. A normal white blood cell (WBC) count does not indicate a complication related to total parenteral nutrition.

A. Wheat toast and jelly B. Graham crackers with peanut butter C. Beef barley soup D. Corn tortillas with black beans

Correct Answer is D

Explanation

A. Wheat toast contains gluten, which should be avoided by individuals with celiac disease.

B. Graham crackers typically contain wheat flour, which also contains gluten and should be avoided.
C. Barley contains gluten and should be avoided by individuals with celiac disease.

D. Corn tortillas are typically gluten-free, and black beans are a good source of protein and fiber, making them a suitable option for individuals with celiac disease. It's important to ensure that all food choices are gluten-free to avoid triggering symptoms of celiac disease.

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A nurse is assisting with planning care for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving total parenteral nutrition. Which of the following laboratory results indicates a possible complication of this therapy?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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