A nurse is caring for a group of clients and identifying what tasks she can delegate to an assistive personnel (AP). Which of the following tasks should the nurse delegate to an AP?
Administer a glycerin suppository to a client.
Provide home care instructions to a client's family member.
Suction a client's newly inserted tracheostomy.
Perform rescue breathing for a client who becomes unresponsive.
The Correct Answer is D
Choice A rationale
Administering a suppository is considered a medication administration task, which requires a licensed nurse to perform. This task involves critical thinking and a solid understanding of anatomy, physiology, and pharmacology, as well as the potential for adverse reactions. Therefore, this cannot be delegated to an assistive personnel (AP), whose scope of practice does not include medication administration.
Choice B rationale
Providing home care instructions is part of client education, which is a key responsibility of a licensed nurse. This task requires a thorough understanding of the client's condition, treatment plan, and the ability to assess their learning needs. An AP is not trained to assess, plan, or implement teaching plans for clients, so this task is outside their scope of practice.
Choice C rationale
Suctioning a newly inserted tracheostomy is a skilled and invasive procedure that carries a high risk of complications, such as hypoxemia, trauma, or infection. This procedure requires a nurse's professional judgment and a clear understanding of sterile technique. The AP's role is to provide basic care, not to perform such complex and high-risk procedures.
Choice D rationale
Performing rescue breathing, or cardiopulmonary resuscitation (CPR), is an emergency procedure that falls within the scope of an AP's training. All healthcare workers, including APs, are required to have a basic life support certification. In a medical emergency, every staff member is expected to perform basic life-saving measures, such as rescue breathing, to prevent further client harm. *.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Diarrhea is a common side effect of clozapine, a second-generation antipsychotic medication. It is usually a mild to moderate symptom and does not typically warrant immediate reporting to the provider unless it is severe, persistent, or accompanied by other concerning symptoms like dehydration. It can often be managed with dietary adjustments or over-the-counter antidiarrheal medications, and it does not usually indicate a serious or life-threatening adverse reaction.
Choice B rationale
A fever in a client taking clozapine is a critical finding that must be immediately reported to the provider. Fever can be an early symptom of agranulocytosis, a severe and potentially fatal adverse effect characterized by a dangerously low white blood cell count. Agranulocytosis makes the client highly susceptible to severe infections. A fever may also indicate the onset of neuroleptic malignant syndrome, another serious and life-threatening condition.
Choice C rationale
Polyuria, which is excessive urination, can be a symptom of various conditions but is not a primary concern or contraindication for clozapine administration. It can be associated with increased fluid intake due to xerostomia (dry mouth), a common side effect of clozapine. It does not typically indicate a severe, life-threatening adverse effect like agranulocytosis or neuroleptic malignant syndrome, and thus does not require immediate reporting.
Choice D rationale
Diaphoresis, or excessive sweating, is a frequent side effect of clozapine. It is often related to the drug's anticholinergic effects and thermoregulatory dysfunction. While it can be uncomfortable for the client and may require management, it is not an immediate sign of a life-threatening condition like agranulocytosis or neuroleptic malignant syndrome. Therefore, it does not typically require an immediate report to the provider. *.
Correct Answer is D
Explanation
Choice A rationale
Rewrapping the bandage every 8 hours is too infrequent. The residual limb bandage should be checked and rewrapped more frequently to ensure continuous, even compression and to prevent the bandage from slipping, which can cause skin irritation or tourniquet effects. The correct application should be in a figure-eight pattern.
Choice B rationale
A client who has undergone a below-the-knee amputation should be turned more frequently than every 4 hours to prevent pressure ulcers and contractures. Turning every 2 hours is the standard of care for a bedridden client. Prolonged pressure on the surgical site can compromise circulation and healing.
Choice C rationale
A trapeze can be a useful tool for clients with lower limb weakness, but for a client post-amputation, excessive upper body strength exertion with the trapeze can cause a compensatory increase in muscle tone and pressure on the stump, which may compromise healing. The focus is to support the residual limb, not to put strain on it.
Choice D rationale
An air mattress, also known as a low-air-loss mattress, is designed to reduce and redistribute pressure evenly across the body's surface. This is particularly important for a client with an amputation to prevent pressure ulcers, promote circulation, and protect the residual limb's surgical incision from excessive pressure, which aids in healing
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