A nurse receives care assignments for a group of clients. Which of the following tasks should the nurse ask the charge nurse to reassign to an RN? (Select all that apply.)

Applying a vacuum-assisted wound closure device on a client's pressure ulcer

Developing a plan of care for a newly admitted client

Preparing a teaching plan for a client who has a new prescription for insulin

Obtaining a client's post-void residual using a bladder scanner

Initiating the administration of a blood transfusion for a client

Answer and Explanation

Correct Answer : A,B,C,E

A.   Applying a vacuum-assisted wound closure device on a client's pressure ulcer: This task requires clinical judgment and advanced training, which are appropriate for an RN.
B.   Developing a plan of care for a newly admitted client: Creating care plans requires comprehensive assessment and clinical decision-making, which are within the RN's scope.
C.   Preparing a teaching plan for a client who has a new prescription for insulin: Teaching requires advanced knowledge to assess learning needs and provide education.
D.   Obtaining a client's post-void residual using a bladder scanner: This task is within the scope of practice for assistive personnel (AP) if trained.
E.   Initiating the administration of a blood transfusion for a client: Blood transfusion initiation requires close monitoring and assessment for adverse reactions, which falls under the RN's scope.

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Correct Answer is D

Explanation

A. Refusing surgery is an autonomous decision. No advocacy needed.
B. "I have contacted another surgeon to get a second opinion." Seeking a second opinion demonstrates proactive decision-making and does not require advocacy.
C. "I will discuss treatment options next week after thinking about this." The client is demonstrating autonomy by requesting time to consider options.
D. "I will take chemotherapy since my family wants me to." This indicates external pressure rather than autonomous decision-making, necessitating the nurse's role as an advocate.

A. Document the client's statement in the medical record. B. Reinforce teaching about the purposes of the medications. C. Tell the client they can take their medications later in the day. D. Record non administration in the client's medication administration record. E. Inform the pharmacy the client's medications will be wasted.

Correct Answer is ["A","B","D"]

Explanation

A. Document the client's statement in the medical record. Accurate documentation is essential to provide a complete record of the client's care and decisions.
B. Reinforce teaching about the purposes of the medications. Providing information can help the client make informed decisions and reconsider their refusal.
C. Tell the client they can take their medications later in the day. This may not be appropriate, depending on the medication schedule and therapeutic requirements.
D. Record non-administration in the client's medication administration record (MAR). This ensures an accurate medication history and alerts other providers to the missed dose.
E. Inform the pharmacy the client's medications will be wasted. Medications are not automatically wasted upon refusal; they can often be returned or rescheduled.

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A nurse receives care assignments for a group of clients. Which of the following tasks should the nurse ask the charge nurse to reassign to an RN? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client who has a new diagnosis of cancer. Which of the following client statements indicates the nurse should act as a client advocate?

Correct Answer is D

Explanation

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Correct Answer is ["A","B","D"]

Explanation

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