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 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.
Correct Answer is B
Explanation
A. Asking a staff member from another unit to complete the evaluation: Staff from other units may not have direct knowledge of the nurse's work performance.
B. Linking the evaluation to predetermined standards: Using predetermined standards ensures objectivity and consistency in evaluations.
C. Focusing primarily on areas that need improvement: Evaluations should be balanced, recognizing both strengths and areas for improvement.
D. Discussing the evaluation with the nurse manager: The evaluation should first be completed independently before discussing it with a manager if needed.
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