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A nurse on a medical-surgical unit is delegating client care. Which of the following tasks should the nurse delegate to assistive personnel?

Instructing a client on self-administration of a tap water enema

Suctioning a client's long-term tracheostomy

Performing a dressing change on a client's peripherally inserted central catheter

Using a pain rating scale to monitor a client's pain level

Answer and Explanation

The Correct Answer is D

Rating the pain scale of a client is a low risk task that can be performed by assistive personnel

A. Self-administration of a tap water enema requires careful training which is the responsibility of a nurse

B. Suctioning a tracheostomy tube is a risky procedure within the scope of a registered nurse

C. Replacing a dressing is a procedure that requires infection control measures therefore a nursing intervention

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Correct Answer is B

Explanation

Oppositional defiant disorder (ODD) is a childhood disorder characterized hostility, defiant behavior and disobedience towards authority. A social worker offers counselling to the child to try mitigate their defiance as well as the family to help cope with the behavior.

A. Physical therapist offers help in individuals with physical problems

C. Occupational therapist assist with functional skills development

D. Speech pathologist helps with communication disorders which are absent in ODD

A. Pipe cleaners B. Oxygen tank C. Obturator D. Cotton balls E. Petroleum jelly

Correct Answer is ["B","C"]

Explanation

A. Pipe cleaners are not typically used for tracheostomy care. However, tracheostomy care kits may include brushes or other cleaning devices designed for cleaning the inner cannula of the tracheostomy tube.

B. A portable oxygen tank may be necessary for a client with a tracheostomy, particularly if the tracheostomy was placed due to respiratory insufficiency or if the client needs supplemental oxygen to maintain appropriate oxygen saturation.

C. An obturator is used to insert the tube in the case of dislodgement at home.

D. Cotton balls are generally not recommended for tracheostomy care. They can leave fibers behind and may pose a risk of aspiration. They do not serve a significant purpose in the management of a tracheostomy.

B. An oxygen tan is unsafe for use at home as it increases the risk of fire.

E- Petroleum jelly is useful in the later stages when hyper granulation occurs.

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A nurse on a medical-surgical unit is delegating client care. Which of the following tasks should the nurse delegate to assistive personnel?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the plan of care for a child who has oppositional defiant disorder. Which of the following members of the interprofessional health care team should the nurse plan to consult?

Correct Answer is B

Explanation

A nurse is preparing discharge planning for a client who has a newly placed tracheostomy tube. The nurse should assess the client's need for which of the following supplies to manage the tracheostomy at home? (Select all that apply.)

Correct Answer is ["B","C"]

Explanation

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