A nurse is making client care assignments for an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?
Inspect the incision of a client who is postoperative following a leg amputation.
Evaluate the need to suction the airway of a client who has a new tracheostomy.
Complete postmortem care for a client who has died.
Feed a client who has difficulty swallowing liquids following a stroke.
The Correct Answer is C
A. Inspect the incision of a client who is postoperative following a leg amputation is incorrect. Inspecting an incision requires clinical assessment to identify signs of infection, dehiscence, or other complications, which should be performed by a licensed nurse.
B. Evaluate the need to suction the airway of a client who has a new tracheostomy is incorrect. Suctioning the airway of a client with a tracheostomy is a skilled task that requires assessment of the airway and airway management, which should be performed by a nurse.
C. Complete postmortem care for a client who has died is correct. Postmortem care, such as cleaning and preparing the body, is a task that can be delegated to an AP. The AP should not be involved in clinical assessments but can perform routine care under supervision.
D. Feed a client who has difficulty swallowing liquids following a stroke is incorrect. Feeding a client with swallowing difficulties requires careful monitoring and risk assessment for aspiration, which is outside the scope of tasks that can be delegated to an AP without proper training.
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Related Questions
Correct Answer is D
Explanation
A. "It is my responsibility to obtain informed consent from the client prior to the procedure." is incorrect. It is the provider's responsibility to explain the procedure, its risks, benefits, and alternatives to the client, not the nurse's. The nurse's role is to witness the signing of the consent form.
B. "I will sign the consent form to indicate that the client has received written materials explaining the procedure." is incorrect. The nurse's role is to witness the client's signature, but the nurse does not sign to indicate that the client has received written materials.
C. "I will provide the client with an explanation of the procedure before I sign the consent form." is incorrect. The nurse should not provide the explanation of the procedure; this is the responsibility of the provider. The nurse ensures that the client understands and is signing voluntarily.
D. "When I sign the consent form, I am stating that the client appears to be competent to give consent." is correct. The nurse’s role is to witness the signing of the consent form and ensure that the client appears to be competent to provide consent. The nurse does not provide the explanation but confirms that the client is signing voluntarily and understands the procedure.
Correct Answer is C
Explanation
A. Make sure the crib mattress is soft.: A soft mattress is a suffocation hazard for an infant. It is recommended to use a firm mattress to reduce the risk of sudden infant death syndrome (SIDS).
B. Start using a highchair for feedings.: At 3 months of age, most infants are not developmentally ready to sit in a highchair. Feeding typically occurs while the infant is held or propped in a reclined position. Highchairs are usually introduced later, around 6 months of age, when the infant has better head and neck control.
C. Remove bibs when the infant is going to sleep.: Bibs and other items that could potentially obstruct the infant's airway should be removed before sleep to reduce the risk of suffocation. This is an important safety measure to ensure the infant's safety while sleeping.
D. Place no more than one small pillow in the crib.: Pillows should not be placed in the crib for infants, as they present a suffocation hazard. It is recommended to keep the crib free from any soft bedding, including pillows and blankets, to promote safe sleep.
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