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 ["A","B","D"]

Explanation

A. Document the client's statement in the medical record. Accurate documentation is essential to provide a complete record of the client's care and decisions.
B. Reinforce teaching about the purposes of the medications. Providing information can help the client make informed decisions and reconsider their refusal.
C. Tell the client they can take their medications later in the day. This may not be appropriate, depending on the medication schedule and therapeutic requirements.
D. Record non-administration in the client's medication administration record (MAR). This ensures an accurate medication history and alerts other providers to the missed dose.
E. Inform the pharmacy the client's medications will be wasted. Medications are not automatically wasted upon refusal; they can often be returned or rescheduled.

A. Pain medication is administered 1 hr before a client has a dressing change. B. The same indwelling urinary catheter is reinserted after a failed attempt. C. Medications scheduled four times a day are administered 2 hr after the scheduled time. D. Finger nail marks appear on a client's wrist after a radial pulse was taken. E. A sublingual medication is crushed and administered through a client's gastrostomy tube.

Correct Answer is ["B","C","D","E"]

Explanation

A. Pain medication is administered 1 hr before a client has a dressing change. Administering pain medication before a painful procedure is appropriate and respects the client’s comfort needs.
B. The same indwelling urinary catheter is reinserted after a failed attempt. Reinserting the same catheter increases the risk of infection and violates infection control guidelines.
C. Medications scheduled four times a day are administered 2 hr after the scheduled time. This represents a medication administration error and violates safe medication administration practices.
D. Finger nail marks appear on a client's wrist after a radial pulse was taken. This may suggest physical harm, which is a violation of the client's right to safety.
E. A sublingual medication is crushed and administered through a client's gastrostomy tube. Sublingual medications are designed for absorption under the tongue and should not be altered, as doing so can affect efficacy and absorption.

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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

A nurse is caring for a client who has refused medications. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

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Correct Answer is ["B","C","D","E"]

Explanation

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