A charge nurse is planning care for a group of clients on a medical-surgical unit. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?
Giving a glycerin suppository to a client for constipation
Evaluating the effectiveness of ibuprofen administered to a client who reported a headache
Discussing dietary changes with a client who has a prescription for a gluten-free diet
Measuring hourly urinary output for a client who is postoperative
The Correct Answer is D
A. Giving a glycerin suppository to a client for constipation: Medication administration, including rectal suppositories, requires assessment of bowel function, knowledge of contraindications, and evaluation of effectiveness, which fall under the responsibilities of a licensed nurse.
B. Evaluating the effectiveness of ibuprofen administered to a client who reported a headache: Assessing a client’s response to medication requires critical thinking, monitoring for adverse effects, and determining if additional interventions are needed, which are nursing responsibilities that cannot be assigned to assistive personnel.
C. Discussing dietary changes with a client who has a prescription for a gluten-free diet: Providing dietary education involves assessing the client’s current knowledge, identifying nutritional risks, and ensuring understanding of food choices, which requires professional nursing judgment or a consultation with a dietitian.
D. Measuring hourly urinary output for a client who is postoperative: Recording urinary output involves a simple measurement process that does not require clinical decision-making. Assistive personnel can accurately collect and document this data, allowing nurses to focus on interpretation and intervention if necessary.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Check the newborn's identification bracelet with the chart: While checking the identification bracelet is important for ensuring the correct identification of the newborn, the request from the grandparent should not be fulfilled without proper identification. It is crucial to prioritize safety and adherence to protocols regarding the newborn's discharge.
B. Obtain permission from the newborn's guardian: Obtaining permission from the newborn's guardian is a necessary step, but the lack of identification from the grandparent still prevents the nurse from allowing the grandparent to take the newborn. The guardian's consent cannot override the identification protocols.
C. Respectfully deny the grandparent's request: Denying the request is the appropriate action in this situation. The nurse must ensure that the newborn is not released to anyone who does not have proper identification, as this is critical for the safety and security of the infant.
D. Review the newborn's footprint record: While reviewing the footprint record can help verify the newborn's identity, it does not address the immediate issue of the grandparent not having an identification bracelet. The nurse's priority should be ensuring that the newborn is only released to authorized individuals with proper identification.
Correct Answer is ["A","B","E"]
Explanation
A. Anesthesiologists: Anesthesiologists have full prescriptive authority as licensed physicians, allowing them to provide telephone medication orders. Their prescribing rights apply in various healthcare settings, following institutional policies and legal guidelines.
B. Physician assistants: Physician assistants have prescriptive authority under physician supervision and can give telephone medication orders where permitted. Their prescribing ability depends on state regulations and facility policies but generally includes routine and emergency prescriptions.
C. Facility pharmacists: Facility pharmacists dispense medications and provide guidance on drug therapy but do not have the legal authority to prescribe. While they collaborate with providers, they cannot issue telephone medication prescriptions.
D. Mental health technicians: Mental health technicians assist with patient care in psychiatric settings but lack the training and licensure required to prescribe medications. Their responsibilities focus on supportive tasks, and they cannot give telephone medication prescriptions.
E. Nurse practitioners: Nurse practitioners have independent or collaborative prescriptive authority depending on state regulations. They can provide telephone medication orders within their scope of practice, ensuring timely medication management for patients.
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