A nurse is planning to assign tasks for a group of clients. Which of the following tasks should the nurse plan to assign to an assistive personnel (AP)? (Select all that apply.)

Ambulate an older adult client who has hypertension.

Provide discharge instructions for a client who has a new skin graft.

Check a blood product with another nurse prior to administration.

Weigh a client who has heart failure.

Perform an admission assessment on a client.

Answer and Explanation

Correct Answer : A,D

Rationale:

A. Ambulate an older adult client who has hypertension is a task that an AP can perform, provided the client is stable and has been assessed by the nurse.

B. Provide discharge instructions for a client who has a new skin graft is a task that requires nursing judgment and cannot be delegated to an AP.

C. Check a blood product with another nurse prior to administration is a nursing responsibility that requires verification by licensed personnel and cannot be delegated to an AP.

D. Weigh a client who has heart failure is appropriate for an AP, as it involves routine measurement that can be delegated.

E. Perform an admission assessment on a client is a nursing responsibility and cannot be delegated to an AP.

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Correct Answer is B

Explanation

Rationale:

A. "I am sure these feelings will pass once you go home." is dismissive and does not address the client's current emotional state.

B. "Tell me what you understand about your illness." opens up a dialogue for the client to express their feelings and concerns, which can help in assessing their emotional state and providing support.

C. "Tell me why you feel hopeless." might be too direct and could make the client feel pressured.

D. "If I were you, I would ask for a referral to hospice care." could be perceived as judgmental and does not address the client’s immediate feelings of hopelessness.

A. Call the provider for a stat DNR order. B. Call the emergency response team. C. Seek immediate help from the risk manager. D. Respect the family's wishes and do nothing.

Correct Answer is B

Explanation

Rationale:

A. Call the provider for a stat DNR order is not appropriate as the client is already in a critical state requiring immediate action.

B. Call the emergency response team is necessary as the client is pulseless, and resuscitation should be initiated according to standard procedures until a DNR order is confirmed.

C. Seek immediate help from the risk manager is not appropriate at this moment; the immediate concern is the client's emergency situation.

D. Respect the family's wishes and do nothing is not appropriate as immediate life-saving measures should be taken until a formal DNR order is in place.

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A nurse is planning to assign tasks for a group of clients. Which of the following tasks should the nurse plan to assign to an assistive personnel (AP)? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is terminally ill tells a nurse on the medical-surgical unit that she feels hopeless. Which of the following statements by the nurse is appropriate?

Correct Answer is B

Explanation

A nurse enters a client's room and finds the client pulseless. The family has requested a do-not-resuscitate (DNR) order from the provider, but he has not written the order yet. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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