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)
Weigh a client who has heart failure.
Provide discharge instructions for a client who has a new skin graft.
Perform an admission assessment on a client.
Ambulate an older adult client who has hypertension.
Check a blood product with another nurse prior to administration.
Correct Answer : A,D
Choice A rationale
Weighing a client with heart failure is a non-invasive and routine task that can be performed by an assistive personnel (AP). Accurate daily weights are essential for monitoring fluid balance in these clients.
Choice B rationale
Incorrect, as providing discharge instructions for a client requires professional nursing judgment and assessment, tasks outside the scope of practice for APs.
Choice C rationale
Incorrect, as performing an admission assessment requires critical thinking and clinical judgment, which are responsibilities of a licensed nurse.
Choice D rationale
Ambulating an older adult client with hypertension can be safely done by an AP. This helps in maintaining the client's mobility and preventing complications such as blood clots and muscle atrophy.
Choice E rationale
Incorrect, as checking a blood product with another nurse prior to administration involves a critical safety check that must be performed by licensed nurses to ensure the right blood is given to the right patient.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
Joint pain in hands and knees is a common symptom of SLE due to inflammation but is not immediately life-threatening. It requires management but is not the highest priority.
Choice B rationale
A dry, raised rash on the face, such as a malar rash, is common in SLE and should be monitored and treated, but it is not immediately life-threatening.
Choice C rationale
Feelings of depression are serious and need addressing but are not an immediate threat to physical health. Depression is often associated with chronic illnesses and requires comprehensive mental health support.
Choice D rationale
Presence of peripheral edema could indicate renal involvement or cardiac issues in SLE, which can be life-threatening. It is crucial to address this finding urgently to prevent complications such as renal failure or severe cardiovascular events.
Correct Answer is C
Explanation
Choice A rationale
Providing a low-carbohydrate diet is not appropriate for a client in Addisonian crisis. Addisonian crisis requires immediate treatment with corticosteroids, not dietary changes.
Choice B rationale
Weighing the client daily is important for monitoring fluid balance, but it is not the primary action during an Addisonian crisis. The priority is to correct the hormonal imbalance.
Choice C rationale
Administering oral corticosteroids is crucial for treating Addisonian crisis. It helps replace the deficient adrenal hormones and manage the crisis effectively.
Choice D rationale
Restricting fluid intake is not recommended during an Addisonian crisis. Clients in crisis may need fluid replacement to manage dehydration and hypotension.
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