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 ["B","C","D"]

Explanation

A. Teach workers to choose personal strategies to cope with work stress: While teaching coping strategies is beneficial for mental well-being, it does not directly address physical agents in the environment. This intervention focuses on psychological stressors rather than physical environmental factors.

B. Limit the amount of time workers spend in temperatures over 43.3° C (110° F): Implementing measures to limit exposure to high temperatures is a crucial intervention for reducing physical stressors in the workplace. Prolonged exposure to extreme heat can lead to heat-related illnesses, so this action protects employees’ health.

C. Provide ear plugs for use at workstations throughout the factory: Providing earplugs is an effective intervention for mitigating noise exposure, which is a physical agent that can cause hearing loss and other health issues. This measure helps create a safer work environment by protecting employees from harmful noise levels.

D. Obtain dosimeters for employees to wear when using new machinery that emits radiation: Providing dosimeters is essential for monitoring radiation exposure among employees. This intervention directly addresses physical agents in the workplace by ensuring that workers are protected from harmful radiation levels and that exposure remains within safe limits.

E. Require more frequent disinfection of work surfaces during influenza season: While this measure is important for preventing the spread of infectious diseases, it primarily addresses biological agents rather than physical agents in the environment. This intervention focuses on hygiene and infection control rather than mitigating physical environmental stressors.

A. Check the newborn's identification bracelet with the chart. B. Obtain permission from the newborn's guardian. C. Respectfully deny the grandparent's request. D. Review the newborn's footprint record.

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.

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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

An occupational health nurse in a factory is planning interventions to reduce environmental stressors for employees. Which of the following interventions should the nurse use to affect physical agents in the environment? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

A nurse is caring for a newborn in the nursery following a circumcision. The newborn's grandparent, who does not have an identification bracelet, requests to take the newborn to their guardian's room. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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