A case management nurse is arranging discharges for several clients. Which of the following interventions would the nurse recognize as suitable for non-skilled care?
Evaluating self-administration of insulin in a 68-year-old client with newly diagnosed diabetes mellitus
Auscultating lung sounds in a 76-year-old client with decompensated heart failure taking a diuretic
Monitoring blood pressure in an 86-year-old client with hypertension recently started on a new antihypertensive
Changing a dry dressing on a 78-year-old client with poor vision who had sustained a laceration on the lower leg
The Correct Answer is D
A. Evaluating self-administration of insulin involves assessing a client's ability to manage their medication, which requires skilled nursing assessment and education.
B. Auscultating lung sounds is a skilled nursing task involving clinical assessment of respiratory status.
C. Monitoring blood pressure is a skilled nursing task that requires clinical assessment, especially when adjusting medications.
D. Changing a dry dressing is considered non-skilled care as it primarily involves routine care and does not require advanced clinical skills. This task is appropriate for a non-skilled caregiver.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. Collaborating with a health care provider is essential in palliative care for integrating medical treatments and addressing the overall care plan.
B. A nutritionist is important for managing dietary needs and ensuring nutritional support in palliative care.
C. A social worker assists with psychosocial issues, resource needs, and family support, which are crucial in palliative care.
D. A chaplain provides spiritual care and support, addressing the emotional and spiritual needs of patients and families in palliative settings.
E. A registrar, while important for administrative functions, is not directly involved in patient care and would not be a primary collaborator in interprofessional rounds for palliative care.
Correct Answer is B
Explanation
A. Tertiary prevention involves managing and treating existing diseases to prevent further deterioration. Diet education does not fit this category as it is not aimed at those already affected by a condition.
B. Primary prevention aims to prevent the onset of disease before it occurs. Providing diet education to children is an example of primary prevention as it promotes healthy eating habits to prevent future health issues.
C. Quaternary prevention focuses on preventing unnecessary or excessive medical interventions. It does not relate to general diet education.
D. Secondary prevention involves early detection and intervention to reduce the impact of a disease. Diet education, aimed at preventing disease before it occurs, does not fall into this category.
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