A nurse is preparing to delegate bathing and turning of a newly admitted client who has end- stage bone cancer to an experienced assistive personnel (AP). Which of the following assessments should the nurse make before delegating care?

Is the client's family present so the AP can show them how to turn the client?

Has the AP checked the client's pain level prior to turning her?

Does the AP have time to change the client's central IV line dressing after turning her?

Has data been collected about specific client needs related to turning?

Answer and Explanation

The Correct Answer is D

A.   While involving the family might be beneficial for education, it's not directly related to assessing the client's needs for turning.
B.   Assessing the client's pain level is important, but it's only one aspect of comprehensive care when delegating turning to the AP.
C.   Checking the AP's availability for other tasks after turning the client is important but not the primary assessment before delegation.
D.   Before delegating care, the nurse should assess and collect data about the client's specific needs related to turning due to the client's condition. Understanding the client's condition and requirements for turning is crucial for effective delegation.

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Correct Answer is A

Explanation

A. Cutaneous anthrax is typically treated with antibiotics such as ciprofloxacin, doxycycline, or penicillin, making preparation to administer antibiotics the appropriate action.
B. While respiratory precautions might be necessary in cases of inhalational anthrax, cutaneous anthrax does not typically require the use of an N95 respirator mask.
C. Antiviral medications are not the standard treatment for cutaneous anthrax; antibiotics are the primary treatment.
D. Placing a surgical mask on the client during transfer might not be necessary for cutaneous anthrax exposure, as the mode of transmission is not through respiratory droplets.

A. A newly admitted client who has diabetes mellitus and requires initial teaching on self- administration of insulin B. A client who is scheduled for an endoscopy later today and requires an enema C. A newly admitted client who has sickle cell anemia and requires the development of an initial plan of care D. A client who had a myocardial infarction and will be transferring to the unit from the CCU.

Correct Answer is B

Explanation

- A: This client requires initial teaching, which is typically the responsibility of a registered nurse due to the educational aspect and the need to assess the client's understanding.
- B: Administering an enema is a task that falls within the scope of practice for a licensed practical nurse and does not require the advanced assessment skills of a registered nurse.
- C: Developing an initial plan of care involves comprehensive assessment and critical thinking, which are responsibilities of a registered nurse.
- D: A client transferring from the CCU after a myocardial infarction would require close monitoring and assessment, which are beyond the scope of practice for a licensed practical nurse.

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A nurse is preparing to delegate bathing and turning of a newly admitted client who has end- stage bone cancer to an experienced assistive personnel (AP). Which of the following assessments should the nurse make before delegating care?

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Naxlex Comprehensive Predictor Exams

A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is delegating care for a group of clients. Which of the following clients should the nurse assign to a licensed practical nurse?

Correct Answer is B

Explanation

A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse that she has reconsidered because she is worried about the pain. Which of the following responses by the nurse is appropriate?

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