The nursing staff on a medical unit includes a registered nurse (RN), practical nurse (PN), and an unlicensed assistive personnel (UAP). Which task should the charge nurse assign to the RN?
Administer PRN oral analgesics to a client with a history of chronic pain.
Transport a client who is receiving IV fluids to the radiology department.
Supervise a newly hired graduate nurse during an admission assessment.
Complete ongoing focused assessments of a client with wrist restraints.
The Correct Answer is C
A. Administering PRN oral analgesics can be managed by both RNs and PNs, as this task does not require advanced assessment or decision-making.
B. Transporting a client who is receiving IV fluids can be safely done by UAPs with appropriate supervision.
C. The RN is responsible for the supervision of other nursing staff and the orientation of new hires. Evaluating the competency of a graduate nurse during a complex task like an admission assessment cannot be delegated to a PN or UAP. An "admission assessment" is the initial comprehensive evaluation of a client. In most nursing jurisdictions, the initial assessment and the development of the nursing care plan are strictly the responsibility of the RN.
D. While the RN is responsible for the overall care plan of a restrained client, ongoing focused assessments (such as checking circulation, skin integrity, and pulse) for a client in restraints can often be delegated to a PN once the initial assessment and necessity for the restraint have been established by the RN.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While playing with syringes or hospital masks may familiarize the child with some medical equipment, it may not significantly reduce anxiety about surgery.
B. Play therapy with children who have undergone similar surgeries can be beneficial but might not be practical or feasible before surgery.
C. Providing a family tour of the preoperative unit allows the child and family to become familiar with the environment, reducing anxiety by demystifying the process and setting.
D. Providing dolls and equipment can help in expressing feelings, but it may not directly address anxiety about the surgical procedure itself.
Correct Answer is B
Explanation
A. This statement does not directly address the mother's concern about the progression of CP.
B. Explaining that brain damage with CP is not progressive but has a variable course provides clear and accurate information, reassuring the mother that while the condition itself does not worsen, symptoms and functional abilities may change over time.
C. This option incorrectly suggests that the brain lesion will continue to develop, which is not accurate for CP.
D. This statement provides general information about CP but does not address the specific concern about progression of movement impairments.
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