A nurse on a medical unit is making staff assignments. Which of the following tasks should the nurse delegate to an assistive personnel?

Inserting a straight urinary catheter for a client

Performing perineal care for a client who has an indwelling urinary catheter

Showing a client how to use an incentive spirometer

Increasing oxygen flow for a client who has a nasal cannula

Answer and Explanation

The Correct Answer is B

A. Inserting a straight urinary catheter for a client:

Inserting a urinary catheter involves a sterile procedure and requires the specialized skills of a licensed nurse. This task should not be delegated to assistive personnel.

B. Performing perineal care for a client who has an indwelling urinary catheter.

Delegating tasks should align with the education, training, and scope of practice of the assistive personnel. Performing perineal care for a client with an indwelling urinary catheter is a task that can be appropriately delegated to assistive personnel. This task involves basic hygiene and does not require the advanced skills or knowledge of a licensed nurse.

C. Showing a client how to use an incentive spirometer:

Educational tasks, such as demonstrating how to use an incentive spirometer, require knowledge and understanding of the device, as well as the ability to assess and respond to the client's needs. This task is best performed by a licensed nurse.

D. Increasing oxygen flow for a client who has a nasal cannula:

Adjusting oxygen flow involves assessing the client's condition and making decisions based on the client's oxygenation needs. This task requires the clinical judgment of a licensed nurse and should not be delegated to assistive personnel.

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Correct Answer is E

Explanation

Administer the medication twice daily.

Incorrect. The prescription specifies TID (three times daily), not twice daily.

Administer the medication as needed for pain.

Incorrect. The prescription provides specific dosing instructions (100 mg now, then 50 mg TID with food), and it is not meant for administration as needed.

Administer the medication 2 hr after meals.

Incorrect. The prescription specifies that indomethacin should be taken with food, so administering it 2 hours after meals is not in accordance with the instructions.

Administer a loading dose of 100 mg PO.

Incorrect. The initial dose of 100 mg is not considered a loading dose but rather the first dose in the prescribed regimen.

Administer the medication with a snack.

Correct. The prescription indicates that indomethacin should be taken with food. Administering

A. The client requires additional help to stand. B. The client has increased difficulty dressing C. The client reports insomnia. D. The client has difficulty swallowing

Correct Answer is D

Explanation

A. The client requires additional help to stand:

While needing additional help to stand is relevant information, it may be expected in Parkinson's disease due to issues with mobility and balance. It is not an immediate priority unless it signals a significant change or poses an immediate risk.

B. The client has increased difficulty dressing:

Increased difficulty dressing is a common manifestation of Parkinson's disease and is important to address but may not be as urgent as issues related to swallowing.

C. The client reports insomnia:

Insomnia is a common issue in Parkinson's disease but may not be an immediate priority unless it significantly impacts the client's overall well-being or contributes to other health concerns.

D. The client has difficulty swallowing:

This is the correct answer. Difficulty swallowing (dysphagia) in Parkinson's disease is a serious concern as it can lead to complications such as aspiration pneumonia and malnutrition. It requires prompt attention and intervention to ensure the client's safety and prevent potential complications.

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A nurse on a medical unit is making staff assignments. Which of the following tasks should the nurse delegate to an assistive personnel?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing a client's new prescription for indomethacin 100 mg PO now, then 50 mg PO TID with food for pain relief. Which of the following actions should the nurse take?

Correct Answer is E

Explanation

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Correct Answer is D

Explanation

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