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A nurse is working with an assistive personnel (AP) to care for a group of clients on the pediatric unit. Which of the following tasks should the nurse have the AP perform first?

Check to see if the elbow restraint is in place for an infant who is postoperative from a surgical correction of a cleft palate.

Wash the hair of an adolescent who reports extreme fatigue and is scheduled for radiation therapy for the treatment of Hodgkin lymphoma.

Collect a stool sample for ova and parasites from a school-age child

Engage a toddler in play.

Answer and Explanation

The Correct Answer is A

Rationale:

A. Check to see if the elbow restraint is in place for an infant who is postoperative from a surgical correction of a cleft palate is a priority to ensure the safety and proper positioning of a vulnerable postoperative patient.

B. Wash the hair of an adolescent who reports extreme fatigue and is scheduled for radiation therapy for the treatment of Hodgkin lymphoma can be done later, as it is not as critical as ensuring the safety of a postoperative infant.

C. Collect a stool sample for ova and parasites from a school-age child is important but not as urgent as checking restraints for a postoperative infant.

D. Engage a toddler in play is important for developmental support but is not as urgent as tasks directly related to patient safety and postoperative care.

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Correct Answer is B

Explanation

Rationale:

A. Hospice care focuses on comfort and quality of life, not on curing the illness. Therefore, the oncologist would typically shift focus to palliative care.

B. Managing symptoms such as dyspnea is a primary aspect of hospice care, aimed at improving the quality of life.

C. Hospice care is usually for patients with a prognosis of six months or less, not for those with indefinite life expectancy.

D. Hospice care can be provided in various settings, including the patient’s home, not just long-term care facilities.

A. "Use wool blankets on your bed." B. "Store unused oxygen tanks horizontally." C. "Check your oxygen equipment once each week." D. "Do not adjust the oxygen flow rate."

Correct Answer is D

Explanation

Rationale:

A. "Use wool blankets on your bed" is not recommended as wool is a flammable material that can pose a risk with oxygen use.

B. "Store unused oxygen tanks horizontally" is not correct; tanks should be stored upright to prevent damage or leakage.

C. "Check your oxygen equipment once each week" is insufficient; equipment should be checked more frequently to ensure safety.

D. "Do not adjust the oxygen flow rate" is correct as clients should not make adjustments without medical advice to ensure proper oxygen levels are maintained.

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A nurse is working with an assistive personnel (AP) to care for a group of clients on the pediatric unit. Which of the following tasks should the nurse have the AP perform first?

Nursing Test Bank

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Correct Answer is D

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