A nurse is developing a care plan for a client who is in Buck's traction and is scheduled for surgery for a fractured femur of the right leg. Which of the following interventions should the nurse delegate to an assistive personnel?

Ask the client to describe her pain.

Check the client's pedal pulse on the right leg.

Observe the position of the suspended weight.

Remind the client to use the incentive spirometer.

Answer and Explanation

The Correct Answer is D

A.   Assessing pain requires clinical judgment and should be done by the nurse.
B.   Checking pedal pulses is a nursing task that requires assessment of circulation and requires nursing expertise.
C.   Observing the positioning of the weight is a task that requires an LPN or RN as it involves assessing the traction’s effectiveness.
D.   Reminding the client to use the incentive spirometer is a task that can be delegated to an assistive personnel (AP) to help prevent respiratory complications.

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Correct Answer is C

Explanation

A. Hand washing for at least 20 seconds with warm water and soap is recommended to prevent infection, not just 10 seconds.
B. Pregnant women should avoid cleaning the cat's litter box due to the risk of toxoplasmosis.
C. Chickenpox is contagious until all lesions have crusted, so visiting a person with chickenpox is only safe 5 days after the lesions crust over.
D. Antibiotics are not effective for viral infections and should not be taken unless prescribed for a bacterial infection.

A. "A nurse will draw blood from your baby's inner elbow." B. "Your baby will be given 2 ounces of water to drink prior to the test." C. "This test should be performed after your baby is 24 hours old." D. "This test will be repeated when your baby is 2 months old."

Correct Answer is C

Explanation

A. Blood is typically drawn from the heel, not the inner elbow, for newborn genetic screening.
B. There is no need to give water before the test; it is a simple blood draw.
C. The newborn screening test should be performed after 24 hours of age, as this ensures enough time for metabolic disorders to manifest in the blood.
D. This test is generally performed once, but it may be repeated later if there are concerns or abnormal results.

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A nurse is developing a care plan for a client who is in Buck's traction and is scheduled for surgery for a fractured femur of the right leg. Which of the following interventions should the nurse delegate to an assistive personnel?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a prenatal class about infection prevention at a community center. Which of the following statements by a client indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is providing teaching to the parents of a newborn about newborn genetic screening. Which of the following statements should the nurse include in the teaching?

Correct Answer is C

Explanation

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