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 A

Explanation

A. Dabigatran should be kept in its original container because it is sensitive to moisture, and the packaging is designed to protect the medication.
B. Crushing dabigatran can alter its effectiveness and is not recommended.
C. Unused medication does not need to be replaced every 6 months unless expired or damaged.
D. Dabigatran should be stored at room temperature, not in the refrigerator.

A. "Your name cannot be removed once you are listed on the organ donor list." B. "I cannot be a witness for your consent to donate." C. "Your desire to be an organ donor must be documented in writing." D. "You must be at least 21 years of age to become an organ donor."

Correct Answer is C

Explanation

A. The statement that the name cannot be removed once listed is incorrect. Organ donor registries may allow individuals to remove their name or change their decision at any time.
B. The nurse is not typically required to act as a witness for consent.
C. Documenting organ donation in writing is necessary to ensure that the desire to donate is legally recognized. This is typically done through a registry or official documentation.
D. The minimum age for organ donation varies by region, but it is usually not restricted to individuals over 21 years of age.

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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 client who has atrial fibrillation and is to start taking dabigatran. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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