An assistive personnel (AP) reports to the nurse that a client who is 3 days postoperative following an abdominal hysterectomy has a dressing that is saturated with blood. Which of the following tasks should the nurse delegate to the AP?

Palpate for possible bladder distention.

Observe the incision site.

Change the abdominal dressing.

Obtain vital signs.

Answer and Explanation

The Correct Answer is D

Rationale:

A. Palpate for possible bladder distention is a task that requires nursing assessment skills and should be done by the nurse.

B. Observe the incision site is a nursing task that involves assessing for signs of complications.

C. Change the abdominal dressing requires sterile technique and should be done by a nurse to prevent infection and ensure proper care.

D. Obtain vital signs is within the AP’s scope of practice and is a task that can be delegated. It is important for monitoring the client’s status and identifying potential issues.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

False Imprisonment: This refers to the unlawful restraint of an individual's freedom of movement. By applying wrist restraints without a clear and immediate order from a provider or without proper justification, the nurse could be restricting the client's freedom of movement inappropriately.

Applying wrist restraints to the client: This action is a key factor in the potential for false imprisonment. Restraints should be used only when necessary and with proper authorization and documentation, particularly in non-emergency situations.

A. A toddler who has asthma and has a pulse oximetry reading of 95% while receiving oxygen at 2 L/min B. An adolescent who has sickle cell disease, reports pain as 7 on a scale of 0 to 10, and requests pain medication C. A toddler who has otitis media, a temperature of 39.2" C (102.6° F), and purulent ear discharge D. A school-age child who has acute epiglottitis, is drooling, and has an absence of spontaneous cough

Correct Answer is D

Explanation

Rationale:

A. A toddler with asthma and a pulse oximetry reading of 95% is stable and manageable with current oxygen therapy.

B. An adolescent with sickle cell disease is in pain but does not require immediate intervention compared to other scenarios.

C. A toddler with otitis media has a fever and discharge but is not in immediate danger.

D. A school-age child with acute epiglottitis is at high risk for airway obstruction and requires urgent care due to the drooling and absence of spontaneous cough, which are signs of a potentially life-threatening condition.

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An assistive personnel (AP) reports to the nurse that a client who is 3 days postoperative following an abdominal hysterectomy has a dressing that is saturated with blood. Which of the following tasks should the nurse delegate to the AP?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

A nurse is triaging clients in the emergency department. Which of the following clients should the nurse ask the provider to care for first?

Correct Answer is D

Explanation

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