Which task could a nurse delegate to unlicensed assistive personnel (UAP) assigned to a cardiac surgery unit?

Teaching a client how to use a pillow to support an incision when coughing.

Checking the pedal pulses of the bed-bound clients.

Ambulating the first-day postoperative clients.

Emptying the urine drainage bags at least once per shift.

Answer and Explanation

The Correct Answer is D

Emptying the urine drainage bags at least once per shift is a task that can be delegated to unlicensed assistive personnel (UAP) assigned to a cardiac surgery unit.

This task does not require assessment, teaching, or evaluation skills that are beyond the scope of practice of UAP.

Choice A is wrong because teaching a client how to use a pillow to support an incision when coughing requires education and evaluation skills that are only within the scope of practice of licensed nurses.

Choice B is wrong because checking the pedal pulses of bed-bound clients requires assessment skills that are only within the scope of practice of licensed nurses.

Pedal pulses are important indicators of peripheral circulation and vascular status.

Choice C is wrong because ambulating the first-day postoperative clients requires assessment and evaluation skills that are only within the scope of practice of licensed nurses.

First-day postoperative clients may have complications such as bleeding, infection, or hypotension that need to be monitored by a nurse.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Heat application increases blood flow and reduces muscle spasms, which can help relieve pain and promote healing. However, heat should not be applied for longer than 30 minutes at a time, as it can cause tissue damage and inflammation.

Choice A is wrong because maximum benefits do not occur within the first five minutes.

It takes time for heat to penetrate the tissues and cause vasodilation.

Choice C is wrong because the heat should not be left in place for at least one hour to be effective.

This can lead to burns, increased edema, and decreased blood flow.

Choice D is wrong because heat can not be left in place for as long as 12 hours without harmful effects.

This can cause severe tissue damage, infection, and necrosis.

Normal ranges for heat application are between 104°F and 113°F (40°C and 45°C).

The temperature should be checked frequently and adjusted according to the patient’s comfort and tolerance.

The skin should also be inspected for signs of erythema, blisters, or burns.

A. I will avoid excessive amounts of cheese and caffeine. B. My spouse will just have to put up with any new irritability. C. I will change positions slowly, as dizziness may occur. D. My spouse will check my blood pressure if I experience a headache.

Correct Answer is B

Explanation

My spouse will just have to put up with any new irritability. This statement indicates that the client requires further educational reinforcement about the medication because phenelzine is an antidepressant that should improve the mood and reduce irritability. The client may also need to be assessed for possible adverse effects of phenelzine, such as agitation, insomnia, or hypomania.

Choice A is wrong because it is a correct statement. Phenelzine is a monoamine oxidase inhibitor (MAOI) that can interact with foods that contain tyramine, such as cheese and caffeine, and cause a hypertensive crisis.

The client should avoid excessive amounts of these foods while taking phenelzine.

Choice C is wrong because it is also a correct statement. Phenelzine can cause orthostatic hypotension, which is a drop in blood pressure when changing positions.

The client should change positions slowly, as dizziness may occur.

Choice D is wrong because it is partially correct. Phenelzine can cause headaches, which may be a sign of a hypertensive crisis.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which task could a nurse delegate to unlicensed assistive personnel (UAP) assigned to a cardiac surgery unit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks a nurse how long a heat application should be left in place. Which response should the nurse make?

Correct Answer is B

Explanation

A client has been recently started on phenelzine, a monoamine oxidase inhibitor (MAOI) for depression. Which statement indicates that the client requires further educational reinforcement about the medication?

Correct Answer is B

Explanation

A nurse has received report on four clients. What client should the nurse see first?

Insulin injection sites are rotated to prevent which complication to the tissues?

For a client who is crying and seems agitated after major abdominal surgery, which action should a nurse take to establish a nursing diagnosis of pain related to an abdominal incision?

The nurse is caring for a client at risk for a respiratory infection. Which of the following natural respiratory defense mechanisms help defend against infection? (Select all that apply).

A nurse identifies that a medication is ordered for the client as twice the regular dosage. What action should the nurse take?

A client who is taking warfarin has an international normalized ratio (INR) of 0.8. Which question should a nurse ask to further evaluate the client?

A client is diagnosed with hearing loss. Which nursing intervention will best facilitate communication with the client?

Which situation requires a nurse to complete an incident report? The nurse:.