A nurse is coordinating care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?
A. Assess the pain level of a client who has received acetaminophen.
Check a client's peripheral IV site for redness or swelling.
Measure the intake and output of a client who has received furosemide.
Reinforce teaching with a client about crutch-gait walking.
The Correct Answer is C
Choice A rationale
Assessing pain levels is a nursing task requiring clinical judgment, which is beyond the scope of an assistive personnel's duties.
Choice B rationale
Checking an IV site for redness or swelling also requires clinical assessment skills, which are tasks for the nurse.
Choice C rationale
Measuring intake and output is a routine task that can be safely delegated to an assistive personnel. It involves straightforward measurement and recording.
Choice D rationale
Reinforcing teaching about crutch-gait walking requires specific patient education, which falls under the nurse's responsibilities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
"Let's talk about what you're thinking.”. This response encourages open communication and allows the nurse to address any concerns or confusion the client may have. It shows empathy and helps build a therapeutic relationship.
Choice B rationale
"Is this something you think you can do?" While this question assesses the client's confidence, it may not address underlying concerns that cause distraction. The focus should be on understanding the client's thoughts and feelings first.
Choice C rationale
"Are you feeling okay?" This question is more about physical well-being, which may not be the reason for the client's distraction. It's better to address emotional or cognitive concerns related to the teaching session.
Choice D rationale
"Do you need more time to absorb this information?" While offering more time can be helpful, it doesn't directly address the client's distraction. Engaging the client in a conversation about their thoughts can be more effective in understanding their needs.
Correct Answer is D
Explanation
Choice A rationale
Cleaning the hearing aid with isopropyl alcohol is inappropriate as it can damage the device. Hearing aids should be cleaned with a dry, soft cloth or a brush specifically designed for this purpose to maintain their functionality.
Choice B rationale
Turning the hearing aid off for 5 minutes does not address the underlying cause of the whistling sound, which is often due to feedback or improper fit. Proper troubleshooting and adjustment are necessary to resolve the issue.
Choice C rationale
Soaking the hearing aid in warm water is incorrect and can severely damage the electronic components of the device. Hearing aids must be kept dry and handled according to the manufacturer's instructions.
Choice D rationale
Decreasing the volume on the hearing aid can reduce or eliminate the whistling sound caused by feedback. Adjusting the volume or repositioning the device can help achieve optimal functionality without causing discomfort or distortion. .
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.