A nurse should assign which of the following tasks to an assistive personnel?

Giving oral care to a client who cannot take oral fluids

Checking intravenous insertion sites for signs of infiltration

Assessing a client's ability to ambulate

Demonstrating to a client with diabetes mellitus how to use the glucometer

Answer and Explanation

The Correct Answer is A

A.   Giving oral care to a client who cannot take oral fluids is a task that can be safely delegated to an assistive personnel.
B.   Checking intravenous insertion sites for signs of infiltration requires nursing judgment and assessment skills and should be performed by a licensed nurse.
C.   Assessing a client's ability to ambulate involves clinical judgment and should be performed by a licensed nurse.
D.   Demonstrating how to use a glucometer to a client with diabetes requires nursing knowledge and education skills and should be performed by a licensed nurse.

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Correct Answer is A

Explanation

A. The client's belief that his needs will be met through education reflects intrinsic motivation, which is likely to enhance the client's commitment to learning and self-care.
B. Seeking family approval may be a motivator, but it is an external factor, and intrinsic motivation is generally more effective for sustained behavior change.
C. While the nurse explaining the need for education is important, the client's personal belief and understanding of the value of education are key for motivation.
D. The nurse's empathy is essential for building rapport, but the client's belief in the benefits of education is more directly related to motivation.

A. "While your child is in this phase, feed him anything that he will eat." B. "Your child's change in eating habits must concern you." C. "As long as your child appears healthy, no intervention is necessary." D. "Increase the amount of calories and water your child consumes."

Correct Answer is C

Explanation

A. Encouraging feeding anything the child will eat might lead to poor nutrition. It's important to ensure a balanced diet.
B. Acknowledging the concern is valid, but the nurse should provide guidance rather than just expressing concern.
C. This response acknowledges the concern but reassures the parent that, if the child appears healthy, no immediate intervention is necessary, promoting a balanced approach.
D. Increasing calories and water without a specific reason or assessment may not address the underlying issue and is not the initial recommended intervention.

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A nurse should assign which of the following tasks to an assistive personnel?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

42. A nurse is providing teaching to a client who uses tobacco products. (Move the steps that the nurse should take into the box on the right, placing them in the correct order of performance. All steps must be used.)

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