A charge nurse is planning assignments for a client on the medical-surgical unit who was in a motor-vehicle crash and has a fractured femur. Which of the following tasks should the nurse assign to the assistive personnel?
Perform sterile dressing changes.
Help the client complete the dietary menu.
Ask the client about allergies.
Demonstrate the use of crutches.
The Correct Answer is B
A. Perform sterile dressing changes:
This is a sterile procedure and requires nursing skill; it cannot be delegated to APs.
B. Help the client complete the dietary menu:
Assisting with menu selection is within an AP’s scope of practice and does not require nursing judgment.
C. Ask the client about allergies:
Collecting health history is the nurse’s responsibility, not the AP’s.
D. Demonstrate the use of crutches:
Teaching and demonstrating require nursing knowledge and assessment skills and cannot be delegated to APs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "A nurse can be charged with libel if she discusses client information in a public area."
This is incorrect-discussing client information in public is a breach of confidentiality (HIPAA violation), not libel.
B. "Documenting negative opinions about a client's personality is considered libel."
Libel is written defamation. Recording subjective, non–care-related negative statements about a client’s personality in the medical record can be considered libel.
C. "Libel is the intentional infliction of emotional distress due to negligent nursing actions."
This describes negligence and emotional harm, not libel.
D. "Failing to complete an incident report following a client injury is an act of libel."
Failure to complete an incident report is an example of poor documentation and policy violation but not libel.
Correct Answer is D
Explanation
A. Check the calibration of the glucometer:
Calibration ensures accuracy but is done periodically, not every time before testing unless indicated by malfunction.
B. Provide the client's breakfast:
Breakfast should follow insulin administration and blood glucose monitoring, not precede them.
C. Administer prescribed insulin:
Insulin should not be given without knowing the client’s current blood glucose level.
D. Obtain the client's capillary blood glucose level:
This is the first step to guide insulin administration and meal planning, ensuring safe glucose management.
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