A nurse is delegating care to assistive personnel. Which of the following assignments should the nurse make?
Reinforcing teaching with a client about stool specimen collection
Collecting a urine specimen from a client who is experiencing dysuria
Taking the vital signs of a client who is experiencing acute angina
Answering a telephone inquiry about NPO status from a client who is scheduled for a procedure
The Correct Answer is B
A) Reinforcing teaching with a client about stool specimen collection:
This task involves providing education to the client, which requires nursing knowledge and judgment. It is not appropriate to delegate to assistive personnel, as they may not have the necessary training or expertise to provide accurate and comprehensive teaching.
B) Collecting a urine specimen from a client who is experiencing dysuria:
Collecting a urine specimen from a client who is experiencing dysuria is an appropriate task to delegate to assistive personnel. This task involves following a standard procedure for specimen collection and does not require specialized nursing judgment or assessment skills.
C) Taking the vital signs of a client who is experiencing acute angina:
Assessing vital signs, especially in a client experiencing acute angina, requires nursing judgment and the ability to recognize and respond to changes in the client's condition. This task should not be delegated to assistive personnel, as they may not have the training to recognize signs of deterioration or respond appropriately.
D) Answering a telephone inquiry about NPO status from a client who is scheduled for a procedure:
Providing information over the phone regarding NPO (nothing by mouth) status involves assessing the client's specific situation, understanding the procedure's requirements, and potentially making clinical decisions based on the client's condition. This task requires nursing judgment and should not be delegated to assistive personnel.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Includes quotes from the client:
Including direct quotes from the client in documentation provides accurate information about the client's statements or expressions. This practice enhances the clarity and validity of the documentation, as it captures the client's own words, which may be important for conveying their thoughts, feelings, or symptoms.
B) Remains logged in to the charting system throughout the shift:
Remaining logged in to the charting system throughout the shift poses a security risk and violates principles of confidentiality. Nurses should log out of the system when not actively using it to prevent unauthorized access to sensitive patient information.
C) Makes reference in the nurse's notes of completing an incident report:
While documenting the completion of an incident report is important for communication and quality improvement purposes, referencing it directly in the nurse's notes may not be appropriate. Incident reports are typically separate documents used for reporting adverse events or incidents, and their contents may not be part of the client's medical record.
D) Documents that the provider wrote an inaccurate prescription:
Documenting that the provider wrote an inaccurate prescription is not within the scope of a nurse's documentation responsibilities. If a nurse identifies an inaccurate prescription, the appropriate action is to clarify the prescription with the provider through established communication channels rather than documenting the error in the client's chart.
Correct Answer is ["B","C","D"]
Explanation
"Gather enough supplies to last for 2 weeks": This information is essential for disaster preparedness. During emergencies, such as natural disasters or pandemics, access to resources may be limited for an extended period. Having a sufficient supply of food, water, medications, and other essentials for at least two weeks ensures that older adults can sustain themselves until assistance becomes available.
C) "Have a backup supply of nonprescription medications": It is crucial for older adults to have a backup supply of nonprescription medications, such as pain relievers, antacids, or allergy medications, in case they are unable to access pharmacies during a disaster. Having these medications readily available can help manage common health issues that may arise during emergencies.
D) "Stock 2 liters of water per person per day": Adequate hydration is essential for maintaining health, especially during emergencies when access to clean water may be disrupted. Older adults are particularly vulnerable to dehydration, so having a sufficient supply of water—approximately 2 liters per person per day—for drinking, cooking, and hygiene purposes is critical for their well-being.
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