A patient requires repositioning every 2 hours. Which task can the nurse delegate to the nursing assistive personnel?

Identifying immobility hazards

Determining the level of comfort

Changing the patient's position

Assessing circulation

Answer and Explanation

The Correct Answer is C

A. Identifying immobility hazards requires clinical judgment and assessment skills that are beyond the scope of nursing assistive personnel.
B. Determining the level of comfort is a subjective assessment that should be done by a nurse to ensure accurate interpretation of the patient’s condition.
C. Changing the patient's position can be safely delegated to nursing assistive personnel, as it is a straightforward task that does not require advanced clinical judgment.
D. Assessing circulation involves evaluating the patient's vital signs and other parameters, which should be performed by a nurse to ensure comprehensive care and assessment.

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Correct Answer is C

Explanation

A. Atelectasis can occur in anyone, not just those with chronic conditions; this statement is incorrect.
B. While hyperventilation may temporarily open alveoli, it is not a preventative measure for atelectasis.
C. Breathing exercises, such as incentive spirometry or deep breathing, are effective in preventing atelectasis by promoting lung expansion and alveolar ventilation.
D. A chest tube is typically used to remove air or fluid from the pleural space, not for the treatment of atelectasis, which is often managed with respiratory therapies.

A. Vision B. Heart tones C. Bowel sounds D. Hearing

Correct Answer is D

Explanation

A. Vision is not commonly affected by vancomycin, so it is not a priority to assess.
B. Heart tones are not directly impacted by vancomycin and do not require immediate monitoring unless there are specific cardiovascular concerns.
C. Bowel sounds are not directly influenced by vancomycin and do not need to be prioritized in this case.
D. Vancomycin is known to be ototoxic, especially in high doses or with prolonged use, so monitoring for signs of hearing loss or tinnitus is essential to prevent potential irreversible damage.

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A patient requires repositioning every 2 hours. Which task can the nurse delegate to the nursing assistive personnel?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse teaches a patient about atelectasis. Which statement by the patient indicates an understanding of atelectasis?

Correct Answer is C

Explanation

A patient is receiving vancomycin. Which physiological function is the priority for the nurse to assess?

Correct Answer is D

Explanation

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