A certified nursing assistant (CN
Do perineal care for a client who just transferred from labor and delivery.
Monitor an area of redness on the incision of a Cesarean section client who is 1 day postpartum.
Provide discharge instructions on using a sitz bath to a client who is going home.
Monitor signs of pre-eclampsia in a client who has gestational hypertension.
The Correct Answer is A
Choice A rationale
Perineal care for a client who just transferred from labor and delivery is within the scope of practice for a certified nursing assistant (CNA). CNAs are trained to provide basic care, such as hygiene and assistance with activities of daily living, to postpartum clients.
Choice B rationale
Monitoring an area of redness on the incision of a Cesarean section client requires clinical assessment skills beyond the scope of a CNA. It involves evaluating the incision for signs of infection or other complications, which is the responsibility of a registered nurse.
Choice C rationale
Providing discharge instructions, such as using a sitz bath, requires teaching and evaluation skills. Registered nurses are responsible for providing education and ensuring client understanding before discharge.
Choice D rationale
Monitoring for signs of pre-eclampsia involves assessment and interpretation of symptoms such as blood pressure, edema, and proteinuria, which are beyond the scope of a CNA. This is a responsibility of a registered nurse.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale
Oral contraceptive pills, while effective when taken correctly, rely on user compliance and are not the most reliable if doses are missed.
Choice B rationale
Diaphragms with spermicide are less effective than IUDs and require proper placement before intercourse, making them more prone to user error.
Choice C rationale
Intrauterine devices (IUDs) are long-term, highly effective contraceptive methods with low failure rates, and they do not depend on daily user compliance.
Choice D rationale
Male condoms are effective but have a higher failure rate compared to IUDs due to potential breakage or improper use.
Correct Answer is A
Explanation
Choice A rationale
Conduction heat loss occurs when the newborn loses heat to a cooler object in direct contact, like a cold mattress or scale.
Choice B rationale
Evaporation heat loss happens when moisture on the skin evaporates, causing the baby to lose body heat.
Choice C rationale
Radiation heat loss occurs when heat is lost from the baby's body to a cooler surface not in direct contact, like a cold window.
Choice D rationale
Convection heat loss happens when cool air circulates around the baby, carrying heat away from the baby's body.
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