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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Report the incident to the charge nurse: Reporting is important but not the immediate priority to address the privacy breach.
B. Log the previous user out of the system: Securing the information immediately prevents further unauthorized access, making this the priority action.
C. Offer to conduct a unit in-service on client confidentiality: Education is beneficial but is not the immediate priority.
D. Complete an incident report: Documentation is essential but should occur after the situation is resolved.
Correct Answer is D
Explanation
A. Disinfect hands using an alcohol-based waterless antiseptic. Alcohol-based hand sanitizers are ineffective against C. difficile spores. Handwashing with soap and water is required.
B. Wear an N95 respirator when caring for the client. C. difficile requires contact precautions, not airborne precautions.
C. Provide a room with negative-pressure airflow. Negative-pressure rooms are used for airborne pathogens, not C. difficile.
D. Use diluted bleach to clean soiled equipment. Bleach is effective in killing C. difficile spores and should be used to disinfect contaminated surfaces.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.