A nurse is planning to delegate client care to an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?

Reinserting an NG tube that was pulled out by a client

Recording output for a client who has multiple drains and tubes

Teaching a family member how to change a simple dressing at home

Suctioning a client's tracheostomy that has been in place for 3 days

Answer and Explanation

The Correct Answer is B

Recording output for a client who has multiple drains and tubes is a task that can be delegated to an AP, as it does not require nursing judgment or assessment skills. Reinserting an NG tube, teaching a family member how to change a dressing, and suctioning a tracheostomy are tasks that require nursing judgment, assessment skills, and specialized knowledge, and therefore cannot be delegated to an AP.

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Correct Answer is A

Explanation

The rationale for this answer is that a back massage is a non-pharmacological intervention that can help reduce pain by promoting relaxation and increasing blood circulation. It also shows respect for the client's preference and offers a choice of alternative therapy.

A. Determine the client's reading ability. B. Explain the techniques of esophageal speech. C. Review the use of an artificial larynx with the client. D. Schedule a support session for the client.

Correct Answer is C

Explanation

A total laryngectomy is a surgical procedure that removes the entire larynx (voice box) and separates the airway from the mouth, nose and esophagus. The client will have a permanent tracheostomy (an opening in the neck) and will not be able to speak normally. An artificial larynx is a device that produces sound by vibrating against the neck or cheek and allows the client to communicate orally. The nurse's priority intervention is to review the use of an artificial larynx with the client before surgery to facilitate postoperative communication and reduce anxiety.

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A nurse is planning to delegate client care to an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports a pain level of 5 on a scale from 0 to 10. The client informs the nurse that pain medications are not an option for managing pain. Which of the following is an appropriate response by the nurse?

Correct Answer is A

Explanation

A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is the nurse's priority?

Correct Answer is C

Explanation

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