In providing care for a client with a nasogastric tube (NGT) connected to intermittent suction, which task can be assigned to the unlicensed assistive personnel (UAP)?
Maintain low intermittent suction.
Secure the tube to the client's nose.
Ensure correct placement of the tube.
Replace the canister when full.
The Correct Answer is B
A. Maintaining low intermittent suction requires assessing the appropriate suction settings and monitoring for complications, which are responsibilities beyond the UAP’s scope of practice. This task involves clinical judgment and knowledge of suction settings.
B. Securing the tube to the client’s nose is a task that UAPs can perform. It is a straightforward task that helps ensure the tube stays in place, which is a supportive care measure within the UAP's scope of practice.
C. Ensuring correct placement of the tube involves assessing for proper tube position through methods such as aspirating gastric contents or using imaging, which are tasks that require clinical judgment and are outside the UAP's scope of practice.
D. Replacing the canister when full involves handling medical equipment and requires understanding of suction mechanics and infection control practices, which are tasks that the PN or RN should perform.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","F"]
Explanation
A. Avoid discussion of negative situations that may occur in the future.
Not Applicable
Avoiding discussions about potential negative situations is not helpful in addressing caregiver stress. Open and honest conversations about future challenges can prepare caregivers and help them develop coping strategies. Addressing potential issues proactively supports both the caregiver and the care recipient.
B. Involve your mother in the decision-making process.
Applicable
Involving the mother in decision-making helps to validate her feelings and preferences, which can alleviate some of the caregiver’s stress. Shared decision-making respects the mother’s autonomy and can reduce feelings of resentment or frustration from the daughter. This approach fosters a collaborative environment that can ease the caregiver’s burden.
C. Saying "no" to things involving the care of your mother is a selfish action.
Not Applicable
Saying "no" is not a selfish action but a necessary step for maintaining personal well-being. Encouraging caregivers to set boundaries is crucial for managing stress and preventing burnout. Supportive statements should affirm that self-care is essential for effective caregiving.
D. It is okay not to love or like your mother when you are caring for her.
Applicable
Acknowledging that it is okay not to have positive feelings towards the person being cared for can reduce caregiver guilt and stress. Caregivers may experience complex emotions, and recognizing these feelings as normal helps them manage their roles more effectively. This statement supports emotional honesty and resilience in caregiving.
E. Helping your mother should be easier than raising a child.
Not Applicable
Comparing caregiving to raising a child dismisses the unique challenges of elder care and can invalidate the caregiver’s stress. Each caregiving situation is different, and caregivers should be encouraged to recognize and address the specific difficulties they face. Comparisons can be unhelpful and diminish the caregiver’s experiences.
F. Take time for yourself and the other relationships that you care about.
Applicable
Encouraging caregivers to take time for themselves is essential for preventing burnout and maintaining overall well-being. Self-care helps caregivers manage stress and sustain their own health and relationships. This approach supports the caregiver’s needs and acknowledges the importance of balance.
G. You made a promise to your mother that you need to keep.
Not Applicable
Emphasizing promises can increase feelings of guilt or obligation rather than addressing the caregiver’s stress. Caregiver support should focus on practical strategies for managing stress rather than reinforcing burdensome promises. This statement can exacerbate feelings of pressure and strain
Correct Answer is B
Explanation
A. Placing a biohazard bag over the basin and sealing it is not appropriate because the specimen should have been collected directly into a sterile container, and the specimen's current state in a non-sterile basin is not acceptable for lab analysis.
B. Assisting the client in obtaining another specimen is necessary to avoid cross contamination.
C. Using a wooden applicator to place the sputum specimen in a sterile container is the incorrect as it breaches sterility.
D. Applying gloves and placing the tissue and specimen in a container is incorrect as the specimen must be in a sterile container from the start. Using a non-sterile basin means the specimen might be contaminated.
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