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 B
Explanation
A. A patient with stable chronic hypertension and no recent medication changes may not require immediate telehealth intervention, as their condition is stable.
B. A patient with acute respiratory symptoms and a history of asthma, who is seeking medication adjustment, would benefit from telehealth to address urgent symptoms and adjust treatment promptly.
C. A patient recovering from surgery and needing wound assessment and dressing changes would likely require an in-person visit for accurate assessment and care.
D. A patient recently discharged with a history of congestive heart failure may need in-person follow-up to ensure proper monitoring and management.
Correct Answer is D
Explanation
A. The 22-year-old male is exposed to environmental risks but requires primary prevention measures to reduce the risk of disease or injury.
B. The 13-year-old female receiving HPV immunization is participating in primary prevention by receiving a vaccine to prevent future disease.
C. The 18-year-old male attending safe driver classes is engaged in primary prevention aimed at preventing future accidents.
D. The 12-year-old female with an obvious curvature of the spine requires secondary prevention through diagnostic and early intervention to address the condition and prevent progression.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.