A nurse is assisting with the care of a client who is experiencing a cardiac arrest. Which of the following tasks should the nurse assign to an assistive personnel?

Maintain IV access.

Assist with airway intubation.

Place defibrillator pads on the client.

Perform CPR on the client.

Answer and Explanation

The Correct Answer is D

A.   Maintain IV access. This task requires nursing knowledge and skill to ensure patency and medication administration during a code.
B.   Assist with airway intubation. This is a complex procedure that requires advanced training and is performed by licensed personnel.
C.   Place defibrillator pads on the client. This task should be performed by trained personnel familiar with defibrillator use and cardiac arrest protocols.
D.   Perform CPR on the client. CPR is within the scope of an assistive personnel's responsibilities if they are trained in Basic Life Support (BLS).

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Correct Answer is B

Explanation

A. Elevate the head of the client's bed to 45° during meals: The head should be elevated to 90° to reduce the risk of aspiration during meals.
B. Request a speech therapist consult from the provider: Speech therapists can assess swallowing difficulties and recommend appropriate strategies.
C. Instruct the client to tilt their head back when swallowing: This position increases the risk of aspiration by opening the airway during swallowing.
D. Administer liquids to the client using a syringe: Syringe administration can lead to choking or aspiration and is not a standard feeding practice for dysphagia clients.

A. Showing a client who has a new colostomy how to empty the pouch. B. Reinserting an NG tube for a client who requires gastric decompression C. Performing a closed catheter irrigation for a client who is postoperative D. Bathing a client who has hemiparesis following a stroke

Correct Answer is D

Explanation

A. Showing a client who has a new colostomy how to empty the pouch. Client education requires the clinical knowledge and teaching skills of a nurse.
B. Re-inserting an NG tube for a client who requires gastric decompression. NG tube insertion is a skilled task that requires clinical assessment and monitoring by a nurse.
C. Performing a closed catheter irrigation for a client who is postoperative. Closed catheter irrigation requires sterile technique and clinical judgment, which are nursing responsibilities.
D. Bathing a client who has hemiparesis following a stroke. APs can assist with bathing and hygiene tasks.

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A nurse is assisting with the care of a client who is experiencing a cardiac arrest. Which of the following tasks should the nurse assign to an assistive personnel?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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