A nurse is delegating care to an assistive personnel. Which of the following assignments should the nurse make?
Taking the vital signs of a client who is experiencing acute angina
Collecting a urine specimen from a client who is experiencing dysuria
Answering a telephone inquiry about NPO status from a client who is scheduled for a procedure
Reinforcing teaching with a client about stool specimen collection
The Correct Answer is B
A. Taking the vital signs of a client who is experiencing acute angina. Acute angina is a potentially unstable condition requiring assessment by a nurse.
B. Collecting a urine specimen from a client who is experiencing dysuria. APs can perform routine specimen collection tasks.
C. Answering a telephone inquiry about NPO status from a client who is scheduled for a procedure. Only licensed nurses should provide pre-procedure instructions.
D. Reinforcing teaching with a client about stool specimen collection. Reinforcement of teaching involves assessment and evaluation, which are the nurse’s responsibilities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. A nurse contacts a client's family member upon the client's request. Fidelity involves keeping promises or fulfilling client requests.
B. A nurse returns to a client's room within a specified time frame. Keeping a promise to return demonstrates fidelity.
C. A nurse provides the same care to clients regardless of their socioeconomic status. This exemplifies the ethical principle of justice, not fidelity.
D. A nurse reinforces education and evaluates a client's understanding. This reflects the ethical principle of beneficence (doing good) rather than fidelity.
E. A nurse administers pain medication prior to ambulating a postoperative client. Administering pain medication as promised demonstrates fidelity.
Correct Answer is B
Explanation
A. "I will use a Class A extinguisher for an electrical fire." Class A extinguishers are for fires involving wood, paper, and cloth, not electrical fires. Class C is appropriate for electrical fires.
B. "I should spray the extinguisher from side to side on the fire." This technique is recommended to ensure the fire is completely extinguished.
C. "I will attempt to extinguish the fire before calling the fire department." The fire department should be called immediately to ensure prompt response, even if the fire appears controllable.
D. "I should change the batteries in my smoke alarms every 2 years." Batteries in smoke alarms should be changed at least once a year or as recommended by the manufacturer.
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