A nurse is delegating client care to an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

A. Administering vaginal cream to a client who has a vaginal infection.

Providing postmortem care for a client who has just died.

Suctioning a tracheostomy for a client who has a recent head injury.

Changing a peripheral IV dressing for a client who is postoperative.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Administering vaginal cream is a medication administration task requiring knowledge and skills within the licensed nurse's scope of practice. Assistive personnel (AP) are not authorized to perform this procedure due to the potential for complications and the need for clinical judgment.

Choice B rationale

Providing postmortem care is a task that AP can perform as it involves basic care activities, such as bathing and positioning, which do not require specialized nursing skills. This allows the nurse to focus on more complex patient needs.

Choice C rationale

Suctioning a tracheostomy is a procedure that requires clinical assessment and intervention skills. Due to the potential for complications, it is within the licensed nurse's scope of practice, not the AP's.

Choice D rationale

Changing a peripheral IV dressing involves assessment skills and requires sterile technique to prevent infection. This task is beyond the scope of practice for AP and should be performed by a licensed nurse.

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Correct Answer is C

Explanation

Choice A rationale

Placing the cap of a sterile solution on a clean surface with the inside facing down can contaminate the cap. It should be placed with the inside facing up to maintain sterility.

Choice B rationale

Placing a sterile instrument within 1.3 cm (0.5 in) of the edge of the sterile field risks contamination, as the edges are considered non-sterile. Instruments should be placed well within the sterile field.

Choice C rationale

Opening the top flap of the sterile tray package away from their body ensures that the sterile contents are not contaminated by the nurse's clothing or body, maintaining the sterility of the field.

Choice D rationale

Dropping sterile objects onto the field from a height of 5 cm (2 in) can cause contamination due to the potential for the objects to fall outside the sterile field. Objects should be placed gently onto the field without dropping them.

A. Take antibiotics for 10 days. B. Ensure the oxygen delivery system is at least 8 feet from any heat source. C. Decrease the steroid dose each day. D. Take antibiotic medication with or without food. E. Adjust the oxygen flow rate as needed to ease breathing. F. Take steroid medication in the morning.

Correct Answer is ["A","B"]

Explanation

Choice A rationale: It is important for the client to complete the full course of antibiotics to ensure the infection is fully treated and to prevent antibiotic resistance.

Choice B rationale: Keeping the oxygen delivery system at least 8 feet from any heat source is crucial for safety to prevent the risk of fire.

Choice C rationale: Decreasing the steroid dose each day is not relevant in this case since there is no mention of the client being on steroids for the pneumonia treatment.

Choice D rationale: While taking antibiotic medication with or without food can be important, the specific instruction for this medication should be based on the pharmacist's or provider's recommendation. However, this option is not the best answer compared to completing the full course of antibiotics.

Choice E rationale: Adjusting the oxygen flow rate as needed to ease breathing should only be done under medical supervision. Clients are typically instructed to use a prescribed oxygen flow rate, and adjustments should not be made without consulting a healthcare provider.

Choice F rationale: Taking steroid medication in the morning can help reduce side effects, but again, this option is not relevant since the client's current treatment does not include steroids.

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A nurse is delegating client care to an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is setting up a sterile field in a client's room.Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is assisting in the care of a client who has pneumonia in the medical unit. Exhibits Which of the following information should the nurse include in discharge teaching for the client? (Select all that apply)

Correct Answer is ["A","B"]

Explanation

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