A nurse is planning assignments for the upcoming shift. Which of the following tasks should the nurse delegate to an assistive personnel? (Select all that apply.)
Insert an NG tube for a client who requires enteral feedings.
Record a client's intake after each meal.
Obtain a client's vital signs every 4 hr.
Instruct a client on the use of an incentive spirometer.
Transfer a client to physical therapy.
Correct Answer : B,C,E
A. Insert an NG tube for a client who requires enteral feedings. This is incorrect because inserting an NG tube requires assessment and skill beyond the scope of practice of assistive personnel. This task should be performed by a nurse.
B. Record a client's intake after each meal. This is correct because recording intake is a non-clinical task within the scope of an assistive personnel’s role.
C. Obtain a client's vital signs every 4 hr. This is correct because measuring and documenting vital signs is a standard duty that assistive personnel can perform.
D. Instruct a client on the use of an incentive spirometer. This is incorrect because client education is a nursing responsibility and cannot be delegated to assistive personnel.
E. Transfer a client to physical therapy. This is correct because assistive personnel can safely assist with client transfers as long as no clinical judgment is required.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Stimulants should not be administered to clients with acute alcohol toxicity, as they can increase agitation and cardiovascular stress.
B. Diuretics are not used for alcohol toxicity because they do not effectively eliminate alcohol and may contribute to dehydration.
C. Measuring urine specific gravity helps assess hydration status and kidney function, which can be affected by acute alcohol toxicity.
D. An NG tube is not routinely indicated unless the client is at risk for aspiration or requires gastric lavage due to severe intoxication.
Correct Answer is C
Explanation
A. "I will take the medication in the morning." Metformin extended-release can be taken once daily, but it is usually recommended with the evening meal to improve gastrointestinal tolerance.
B. "I will take the medication on an empty stomach." This is incorrect because metformin should be taken with food to reduce gastrointestinal side effects such as nausea and diarrhea.
C. "I will avoid crushing this medication." This is correct because extended-release tablets should not be crushed, split, or chewed, as this can alter the drug’s release mechanism.
D. "I will expect to gain weight." Metformin is not associated with weight gain; in fact, it may cause modest weight loss in some clients.
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