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

Answer and Explanation

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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Correct Answer is C

Explanation

A. "Provide the Centers for Disease Control and Prevention (CDC) with the client's information": While listeriosis is a nationally notifiable disease, reporting is first done at the state level, which then decides how to proceed with federal notification. Directly sending client information to the CDC is not the nurse’s role.

B. "Inform the client that they are required to have health department staff directly observe their treatment": Directly observed therapy (DOT) is typically used for diseases like tuberculosis, where adherence to a medication regimen is critical. Listeriosis treatment does not require such supervision.

C. "Determine whether the condition is reportable under state requirements": Listeriosis is a reportable disease in most states, but reporting guidelines vary. The nurse must follow state-specific regulations to ensure proper public health response and disease surveillance.

D. "Find out whether the condition is endemic in the client's neighborhood": Listeriosis is typically linked to foodborne outbreaks rather than geographic endemics. Identifying contaminated food sources is more relevant than determining neighborhood endemicity.

A. Children are more resilient to the effects of poverty than adults. B. Minority groups living in poverty experience lower rates of chronic disease. C. Older adults are less likely to experience poverty due to receiving Social Security benefits. D. Adolescents living in poverty are more likely to be diagnosed with a conduct disorder.

Correct Answer is D

Explanation

A. "Children are more resilient to the effects of poverty than adults": Children are particularly vulnerable to the effects of poverty due to inadequate nutrition, limited access to healthcare, and increased exposure to adverse childhood experiences, which can have long-term physical and mental health consequences.

B. "Minority groups living in poverty experience lower rates of chronic disease": Minority populations in poverty often experience higher rates of chronic illnesses such as diabetes, hypertension, and cardiovascular disease due to disparities in healthcare access, increased stress, and socioeconomic barriers to preventive care.

C. "Older adults are less likely to experience poverty due to receiving Social Security benefits": While Social Security provides financial assistance, many older adults still live in poverty due to high medical costs, inadequate retirement savings, and the rising cost of living, leading to food insecurity and difficulty affording medications.

D. "Adolescents living in poverty are more likely to be diagnosed with a conduct disorder": Poverty is associated with increased exposure to environmental stressors, family instability, and limited access to mental health resources, which can contribute to higher rates of behavioral disorders, including conduct disorder, in adolescents.

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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)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse at a local health department is caring for a client who is newly diagnosed with listeriosis. Which of the following actions should the nurse plan to take?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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