The nurse is caring for a client who is post-op day 1 from a laparoscopic cholecystectomy.

Which task should the nurse delegate to the unlicensed assistive personnel?

Reassess the incision site for bleeding.

Increase the client's IV fluids.

Administer p.o. pain medication.

Assist the client to the bathroom.

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Reassess the incision site for bleeding. This task requires clinical judgment and should be performed by the nurse.
Choice B rationale:
Increase the client’s IV fluids. This task involves medication administration and should be performed by the nurse.
Choice C rationale:
Administer p.o. pain medication. This task involves medication administration and should be performed by the nurse.
Choice D rationale:
Assist the client to the bathroom. This is a task that can be safely delegated to unlicensed assistive personnel.

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Correct Answer is A

Explanation

Choice A rationale:

A clear liquids diet is often recommended for patients with gastrointestinal issues as it allows the digestive system to rest. However, this diet lacks adequate nutrition for long-term use.

Choice B rationale:

A regular diet may exacerbate the patient’s abdominal discomfort, especially since her pain worsens after meals.

Choice C rationale:

Maintaining the patient NPO (nothing by mouth) is typically done before procedures that require anesthesia, such as a HIDA scan, to reduce the risk of aspiration.

So, the correct answer is Choice C: Maintain patient NPO. This is because the patient is scheduled for a HIDA scan, and it’s standard practice to keep patients NPO prior to such procedures.

A. Reports of inflammation in the joints. B. Joint pain that is not relieved with rest. C. Report of recent headache. D. Report of bloody stools.

Correct Answer is D

Explanation

Choice A rationale:
While inflammation in the joints is a symptom of rheumatoid arthritis, it is not a contraindication for taking aspirin.
Choice B rationale:
Joint pain that is not relieved with rest is a common symptom of rheumatoid arthritis, but it is not a contraindication for taking aspirin.
Choice C rationale:
A recent headache is not a contraindication for taking aspirin. In fact, aspirin is often used to relieve headaches.
Choice D rationale:
Bloody stools can be a sign of gastrointestinal bleeding, which can be exacerbated by aspirin use due to its blood-thinning properties.

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The nurse is caring for a client who is post-op day 1 from a laparoscopic cholecystectomy. Which task should the nurse delegate to the unlicensed assistive personnel?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is caring for a female client with rheumatoid arthritis, the client asks the nurse if it is safe to take aspirin. The nurse should recognize which of the following contraindications is of most concern?.

Correct Answer is D

Explanation

A nurse in a provider's office is assessing a client who has been diagnosed with rheumatoid arthritis (RA). Which assessment finding does the nurse expect as a manifestation of this condition?.

The nurse is assessing a client with osteoarthritis (OA) of the elbows and fingers. Which of the following clinical manifestations should the nurse expect to find?.

A client with a diagnosis of hypotension has been ordered a normal saline bolus 250 ml IV to infuse over 15 minutes. How many ml/hr should you administer?

After a cholecystectomy, the client might experience discomfort due to CO2 used during surgery. Which intervention will help the client ease the discomfort?.

The charge nurse is planning the client assignments for the day. Which of the following is an appropriate assignment for the newly graduated registered nurse?.

A nurse working in the Med-surgical unit is caring for a client with choliathiasis. Which of the following risk factors are most associated with choliathiasis? (Select All that Apply.).

A nurse is preparing dietary instructions for a client who has cholecystitis from chronic cholelithiasis. Which diet is most important to include in the patient teaching?.

The nurse is preparing discharge teaching for a pregnant client who has been recently diagnosed with Osteoarthritis. Which of the following is most important to include in the patient teaching?.

The nurse is caring for a client who is post-op day 1 from a laparoscopic cholecystectomy.

Which task should the nurse delegate to the unlicensed assistive personnel?