A nurse on a medical-surgical unit has just received a change-of-shift report for four clients. Which of the following tasks should the nurse assign to an assistive personnel?
Showing a client who has a new colostomy how to empty the pouch.
Reinserting an NG tube for a client who requires gastric decompression
Performing a closed catheter irrigation for a client who is postoperative
Bathing a client who has hemiparesis following a stroke
The Correct Answer is D
A. Showing a client who has a new colostomy how to empty the pouch. Client education requires the clinical knowledge and teaching skills of a nurse.
B. Re-inserting an NG tube for a client who requires gastric decompression. NG tube insertion is a skilled task that requires clinical assessment and monitoring by a nurse.
C. Performing a closed catheter irrigation for a client who is postoperative. Closed catheter irrigation requires sterile technique and clinical judgment, which are nursing responsibilities.
D. Bathing a client who has hemiparesis following a stroke. APs can assist with bathing and hygiene tasks.
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Related Questions
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B"}
Explanation
- Malpractice: This refers to professional negligence when a healthcare provider fails to meet the standard of care. Floating to an unfamiliar unit increases the risk of errors, potentially leading to malpractice claims.
- Insufficient training: The nurse typically lacks adequate orientation and experience with procedures specific to the adult medical-surgical unit, placing clients at risk.
Correct Answer is B
Explanation
A. Health insurance information: Financial details are not included in a clinical handoff report.
B. Need for special equipment: Information about special equipment (e.g., oxygen or mobility aids) is essential for continuity of care.
C. Name of facility social worker: This is not a critical piece of information for client care during the transfer.
D. Medication administration record: Medication details should be summarized in the report, but the full record is sent separately.
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