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A nurse is planning client care for herself and an assistive personnel (AP) working with her. Which of the following tasks should the nurse plan to perform?

Assisting a client to cough and deep breathe

Application of antiembolic stockings

Administration of an enema

Assessing a client's sacrum for edema

Answer and Explanation

The Correct Answer is D

Rationale:

A. Assisting a client to cough and deep breathe is a task that can be performed by an AP under supervision.

B. Application of antiembolic stockings is within the scope of APs, though it may be monitored by an RN.

C. Administration of an enema typically requires nursing judgment and assessment, making it more appropriate for the RN.

D. Assessing a client’s sacrum for edema requires clinical assessment skills and nursing judgment, which should be performed by an RN.

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Correct Answer is D

Explanation

Rationale:

A. Assigning an RN to perform a central line dressing change is appropriate as it requires specialized skills and knowledge.

B. Assigning an AP to perform glucometer monitoring is within their scope of practice and is a suitable task.

C. Assigning two APs to ambulate clients is reasonable if the workload requires it.

D. Assigning a new graduate nurse to perform a wet-to-dry dressing change may be inappropriate if it requires more experience and skill than the new graduate has.

A. A client requesting a referral for home health services B. A client asking about his PCA pump that contains morphine C. A client who needs assistance with a bath D. A client who has questions about his new prescription

Correct Answer is B

Explanation

Rationale:

A. Requesting a referral is important but not immediately critical compared to other needs.

B. Asking about a PCA pump with morphine indicates a potential issue with pain management or medication delivery that needs immediate attention.

C. Assisting with a bath is important for comfort and hygiene but is less urgent compared to immediate pain management.

D. Questions about a new prescription should be addressed but are generally less urgent than issues related to pain management.

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A nurse is planning client care for herself and an assistive personnel (AP) working with her. Which of the following tasks should the nurse plan to perform?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is delegating tasks to nursing personnel on a 10-bed medical-surgical nursing unit. Which of the following assignments is an example of overdelegation?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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