The nurse is caring for a patient with COPD. Which intervention could be delegated to unlicensed assistive personnel (UAP)?

Teach the patient to pursed lip breath.

Auscultate breath sounds every 4 hours.

Assist the patient to get out of bed.

Plan patient activities to minimize exertion.

Answer and Explanation

The Correct Answer is C

Assisting the patient to get out of bed is a task that can be safely delegated to UAP, as long as the patient's mobility and transfer status allow for assistance without the need for specialized nursing skills. UAPs are trained to provide basic patient care, including assisting with activities of daily living, under the supervision and direction of licensed healthcare professionals.

Teaching the patient to purse lip breath requires knowledge and understanding of the technique, as well as the ability to assess the patient's response and provide feedback. This is best done by a licensed healthcare professional, such as a nurse or respiratory therapist. Auscultating breath sounds every 4 hours requires the ability to correctly use a stethoscope and interpret the findings. This task falls within the scope of practice of a nurse or respiratory therapist who has received appropriate training.

Planning patient activities to minimize exertion requires knowledge of the patient's condition, limitations, and goals. It involves assessment, evaluation, and coordination of care, which are typically performed by licensed healthcare professionals.

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Correct Answer is ["A","B","D","E","F","G","H","J"]

Explanation

● Weight 98 lbs: This information helps determine the patient's baseline weight and assess for potential weight loss associated with dehydration.

● Dehydrated: The diagnosis of dehydration indicates a critical condition that requires immediate attention and intervention.

● Lethargy: Lethargy suggests a decreased level of consciousness and could indicate a severe state of dehydration or other underlying issues that need to be addressed promptly.

● HR 122: A heart rate of 122 beats per minute is elevated and may indicate compensatory mechanisms in response to dehydration or other underlying conditions. It requires further evaluation and intervention.

● Shortness of Breath: This symptom suggests respiratory distress and may be related to the patient's dehydration or underlying conditions. It requires immediate assessment and intervention.

● Temperature 100: An elevated temperature may indicate an underlying infection or inflammatory response. It requires further evaluation to determine the cause and guide appropriate treatment.

● Thirsty: The patient's report of feeling thirsty is an important symptom indicating dehydration and the need for fluid replacement.

● BP 90/50: A blood pressure of 90/50 is low and may be indicative of hypotension, which can occur in dehydration. It requires close monitoring and intervention to stabilize the patient's blood pressure.

The following items are not immediate concerns based on the given information: ● Admitted to the ER: While it is important information, it is not a current concern as the patient is already in the ER.

● Female: The patient's gender is not an immediate concern for the assessment and management of dehydration.

A. Bleeding posterior to the nasal packing. B. Oral dryness caused by nasal packing. C. An adverse reaction to the analgesic. D. A normal response to the analgesic and surgery.

Correct Answer is B

Explanation

Rhinoplasty is a surgical procedure performed on the nose, and it often involves the placement of nasal packing to control bleeding, support the nasal structures, and promote healing. Nasal packing can cause mouth breathing and oral dryness, which can lead to increased swallowing as the patient tries to alleviate the discomfort.

While bleeding posterior to the nasal packing is a potential complication of rhinoplasty, it typically presents with other symptoms such as active bleeding, nasal discharge, or changes in vital signs. Without additional information or signs of active bleeding, it is less likely to be the cause of the patient's frequent swallowing in this scenario.

An adverse reaction to the analgesic is possible, but it would typically present with other symptoms such as allergic reactions (rash, swelling, difficulty breathing) or gastrointestinal symptoms (nausea, vomiting). In the absence of these symptoms, an adverse reaction to the analgesic is less likely.

Lastly, a normal response to the analgesic and surgery would not typically manifest as frequent swallowing. While pain medication can cause side effects, such as drowsiness or nausea, increased swallowing is not a common response.

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The nurse is caring for a patient with COPD. Which intervention could be delegated to unlicensed assistive personnel (UAP)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","D","E","F","G","H","J"]

Explanation

A patient, age 23, underwent a rhinoplasty 6 hours ago. After administering his pain medication, the nurse notes that he is swallowing frequently. What is the most likely cause of the swallowing?

Correct Answer is B

Explanation

Cephalosporins are similar to another group of beta-lactam antibiotics called the?

Which medication should the nurse anticipate being used first in the emergency department for relief of severe respiratory distress related to asthma?

A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the nurse instruct the mother to implement first?

Which nursing documentation demonstrates the integration of patient-centered care?

Based on the diagnosis of Dehydration, select which IV solution will be ordered to treat waiting this patient.

A client with systemic lupus erythematosus (SLE) is receiving nonsteroidal anti- inflammatory drug (NSAID) therapy. Which side effect of NSAID therapy should the nurse immediately report to the health care provider?

The nurse is delegating ambulation for a client to an experienced Patient Care Technician (PCT).Which teaching will the nurse provide to the PCT? (Select all that apply.)