A nurse is caring for four clients and is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse plan to have the AP perform?

Provide postmortem care for a client who died 1 hr ago.

Reinforce discharge instructions with a client who is 2 days postoperative following an appendectomy.

Interpret deviations in a client's vital signs.

Insert an NG tube for a client who has difficulty eating.

Answer and Explanation

The Correct Answer is A

A. Providing postmortem care is a task that can be delegated to assistive personnel, as it involves following established protocols and does not require clinical judgment.
B. Reinforcing discharge instructions requires clinical knowledge and assessment, making it inappropriate for delegation to an AP.
C. Interpreting deviations in a client's vital signs necessitates nursing judgment and clinical expertise, which an AP does not possess.
D. Inserting an NG tube is a skilled nursing procedure that requires assessment and decision-making, thus it should not be delegated to an AP.

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Correct Answer is D,C,A,B

Explanation

Rationale

Situation: The client has COPD and is experiencing an acute exacerbation.
Background: The client has a history of COPD and has been experiencing increasing shortness of breath.
Assessment: The client's temperature is 39.5°C (103.1°F) and is experiencing shortness of breath.
Recommendation: Contact the client's provider for a prescription for a sputum culture.

A. QD B. HS C. SQ D. PO

Correct Answer is D

Explanation

A. QD (every day) is not an approved abbreviation due to the potential for misinterpretation, so it should not be used.
B. HS (at bedtime) is also not recommended as it can be confused with "half-strength," so it is not an approved abbreviation.
C. SQ (subcutaneous) is not commonly used in current practice as abbreviations may lead to errors; the term should be written out as "subcut" or "subcutaneously."
D. PO (by mouth) is an accepted and approved abbreviation used to indicate that a medication is to be taken orally, making it the correct choice for inclusion in the in-service.

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A nurse is caring for four clients and is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse plan to have the AP perform?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D,C,A,B

Explanation

A nurse is assisting with the planning of an in-service for a group of newly licensed nurses about transcribing prescriptions from a provider. Which of the following examples should the nurse include as an approved abbreviation?

Correct Answer is D

Explanation

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