A nurse is preparing a discharge plan for a client using the IDEAL toolkit. Which of the following does the toolkit identify as one of the five key areas that nurse should discuss with the client?
Client goals
Discharge process
Family member preferences
Test results
The Correct Answer is A
A. This aligns with the "D" in IDEAL, which is to develop a discharge plan. The client's goals should be a central part of this plan.
B. While the discharge process is important, it's more about the steps involved in the discharge rather than a key area to discuss with the client.
C. While family input is valuable, the focus should be on the client's needs and goals.
D. Test results are important information for the client, but they are not one of the five key areas of the IDEAL toolkit.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Teaching a client how to use an incentive spirometer involves providing detailed instruction and education about the device and its use. This task requires clinical knowledge and the ability to assess and address the client’s understanding, which is beyond the scope of an AP.
B. Irrigating and performing a dressing change on a pressure injury wound is a clinical task that requires specific training and skill, including knowledge of wound care, infection control, and assessment of wound healing. This is typically performed by an RN or another licensed healthcare professional. This task involves clinical judgment and assessment, which are beyond the training of an AP.
C. Administering medication, including PRN (as needed) pain medication, involves assessing the client’s condition, verifying the medication order, and monitoring for effects and side effects. This task requires a licensed nurse who can perform these assessments and make clinical decisions.
D. Obtaining a daily weight is a task that is within the scope of practice for an AP. Weighing a client does not require clinical judgment or complex decision-making and is typically considered a routine task that can be safely delegated to an AP. This task involves measuring and recording the client’s weight, which is an objective and straightforward task.
Correct Answer is ["A","B","E"]
Explanation
A. This task can be delegated to AP as it involves physical assistance and does not require nursing judgment.
B. Feeding a client who has regained swallowing ability can be delegated to AP. However, the nurse should assess the client's ability to swallow safely before delegation.
C. This task requires patient education and assessment, which are within the scope of nursing practice and cannot be delegated.
D. Patient education requires nursing judgment and cannot be delegated to AP.
E. Bathing a client is a routine task that can be delegated to AP, as long as the AP has received appropriate training and the client's condition is stable.
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