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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Excessive sweating is a common side effect of selective serotonin reuptake inhibitors (SSRIs), including sertraline.
B. A metallic taste is more commonly associated with medications like certain antibiotics, not sertraline.
C. A dry cough is not a known side effect of sertraline; this might be seen with ACE inhibitors, for example.
D. Increased urinary frequency is not typically an adverse effect of sertraline.
Correct Answer is A
Explanation
A. This prescription is complete because it includes the medication name (Digoxin), the dosage (0.25 mg), the route (PO, meaning by mouth), and the frequency (daily). This is a fully clear and complete prescription.
B. This prescription is incomplete because it lacks the dosage for Cimetidine. The nurse cannot confirm the correct amount of the medication to administer without the dosage.
C. While the medication name, dosage (150 units/kg), and frequency (three times weekly) are included, the route is missing. Epoetin alfa can be given via different routes (subcutaneously or intravenously), so the route must be specified.
D. This prescription is incomplete because it lacks both the dosage form and the frequency. It states "200 mg PO," but it does not specify whether this is a one-time dose or if it is to be given daily, which makes it unclear.
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