It is most important for the registered nurse (RN) who is working on a medical unit to provide direct supervision in which situation?
A practical nurse is preparing to assist the healthcare provider with a lumbar puncture at the bedside.
A postpartum nurse pulled to the unit needs to start a transfusion of packed red blood cells.
An unlicensed assistive personnel is preparing to weigh an obese bedfast client using a bed scale.
A graduate nurse needs to access a client's implanted port to start an infusion of Ringer's Lactate.
The Correct Answer is A
Choice A: A practical nurse assisting the healthcare provider with a lumbar puncture at the bedside is a high-risk procedure that requires direct supervision by an RN or a qualified healthcare provider. The RN should ensure the procedure is performed safely and effectively, as it involves potential risks and complications.
Choice B: Starting a transfusion of packed red blood cells is an important nursing intervention, but it does not necessarily require direct supervision by an RN, especially if the nurse has been trained and is competent in administering blood transfusions.
Choice C: Weighing an obese bedfast client using a bed scale is a routine nursing task that can be performed by unlicensed assistive personnel (UAP) with appropriate training. While the RN should ensure that the UAP is properly trained, direct supervision may not be required for this specific task.
Choice D: Accessing a client's implanted port to start an infusion of Ringer's Lactate is a nursing task that can be performed by a graduate nurse, especially if they have received appropriate training and competency validation. Direct supervision by an RN may not be necessary in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A: Socioeconomics can influence a person's ability to access and afford certain foods, but the statement does not directly address the nutritional guidelines for older adults.
Choice B: Nutritional meal planning for seniors should ideally involve input from a dietitian or healthcare provider, but the statement does not directly reflect an understanding of the nutritional guidelines.
Choice C: Dietary needs for seniors over and under age 70 can differ due to factors such as changes in metabolism, physical activity levels, and overall health. The statement recognizes the importance of tailoring the meal plan to meet the specific nutritional needs of both spouses based on their respective ages.
Choice D: Age is a factor in determining dietary needs for seniors, as nutritional requirements may change as individuals age. The statement acknowledges that age plays a role in meal planning for older adults.
Correct Answer is A
Explanation
Choice A: The nurse should determine the pH value of the aspirated fluid to confirm the placement of the NGT. Gastric aspirate typically has an acidic pH (usually below 5), which indicates that the tube is correctly placed in the stomach.
Choice B: Withdrawing the NGT and reinserting it is not necessary if the pH of the aspirate confirms gastric placement.
Choice C: Connecting the NGT to wall suction is not appropriate until placement has been confirmed with a pH test.
Choice D: Sending the fluid specimen to the lab is not the first step in verifying NGT placement. Checking the pH is a more immediate and reliable method.
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