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 ["C","D"]

Explanation

Choice A rationale:
Hypoglycemia is a condition characterized by low blood sugar levels. However, the client is on Prednisone and NSAIDs, which do not typically cause hypoglycemia. Therefore, it’s unlikely that the client would develop this condition as a side effect of these medications.
Choice B rationale:
Weight loss could occur in some individuals taking Prednisone due to potential side effects like loss of appetite or stomach upset. However, it’s more common for individuals on Prednisone to experience weight gain due to increased appetite.
Choice C rationale:
Weight gain is a common side effect of Prednisone. This medication can cause increased appetite leading to weight gain. It can also cause fluid retention and redistribution of fat, particularly in the face, back of the neck, and abdomen.
Choice D rationale:
Hyperglycemia, or high blood sugar, is a potential side effect of Prednisone. This medication can cause an increase in blood sugar levels, which if persistently high, can lead to diabetes. Regular monitoring of blood glucose levels is recommended for clients on this medication.

A. Clear Liquids diet B. Regular diet C. Maintain patient NPO

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.

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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

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Explanation

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Explanation

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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?