A nurse on a pediatric unit is working with an assistive personnel (AP). Which of the following tasks should the nurse have the AP perform first?
Feed a school-age client who has burns on both upper extremities.
Collect a stool sample for ova and parasites from a toddler.
Bathe an adolescent client who is disabled.
Ambulate a preschooler who is postoperative to the playroom.
The Correct Answer is A
The nurse should have the AP perform the task of feeding a school-age client who has burns on both upper extremities first. This task is a high priority because it addresses the client's immediate need for nutrition and hydration. The client's burns may make it difficult for them to feed themselves, so the assistance of the AP is necessary to ensure that the client receives adequate nourishment.
The other tasks are also important, but they are not the highest priority in this situation. Collecting a stool sample for ova and parasites from a toddler [b] and bathing an adolescent client who is disabled [c] are routine tasks that can be performed as time permits. Ambulating a preschooler who is postoperative to the playroom [d] is also important for promoting mobility and recovery, but it is not as urgent as addressing the immediate need for nutrition and hydration.
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Related Questions
Correct Answer is ["A","D"]
Explanation
Addressing the situation as soon as possible [a] and assisting the provider in identifying alternative solutions [d] are actions that display conflict resolution. Conflict resolution involves finding a peaceful and mutually acceptable solution to a disagreement or dispute. By addressing the situation promptly and helping the provider to identify alternative solutions, the charge nurse can facilitate communication and collaboration between the provider and the staff nurse and help to resolve the conflict.
The other options do not display conflict resolution. Using aggressive communication skills [b] can escalate the conflict and make it more difficult to find a resolution. Fostering closed communication [c] can also hinder the resolution of the conflict by preventing open and honest dialogue between the parties involved.
Correct Answer is A
Explanation
The nurse should request the client's son, who has a durable power of attorney, to sign the client's informed consent. A durable power of attorney is a legal document that allows an individual to appoint someone to make decisions on their behalf in the event that they become unable to do so. If the client has dementia and is unable to provide informed consent for the procedure, the individual with a durable power of attorney has the legal authority to make decisions on their behalf.
The other individuals are not the appropriate person to sign the client's informed consent. The client's sister [b] and daughter [c] may be involved in the client's care and decision-making, but they do not have the legal authority to provide informed consent on behalf of the client unless they have been designated as such in a legal document. Advance directives [d] are legal documents that allow individuals to communicate their wishes about medical treatment and end-of-life care, but they do not grant decision-making authority to another individual.
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