A charge nurse is reviewing the list of tasks that have been delegated to the assistive personnel (AP) by the staff nurse. Which of the following tasks should the charge nurse reassign to a licensed nurse?

Removing and cleaning the cannula of a client who has a new tracheostomy

Providing a back rub to a client who has right-sided paralysis

Transporting a client who experienced a stroke 72 hr ago to the radiology department

Performing oral hygiene for a client who is 1 day postoperative following an amputation of the right arm

Answer and Explanation

The Correct Answer is A

A.   Removing and cleaning the cannula of a tracheostomy requires specialized training and should be performed by a licensed nurse or respiratory therapist.
B.   Providing a back rub is within the scope of practice for assistive personnel and does not require specialized training.
C.   Transporting a client to the radiology department does not require specialized nursing skills and can be safely performed by assistive personnel.
D.   Performing oral hygiene for a client postoperative following an amputation does not require specialized nursing skills and can be safely performed by assistive personnel.

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Correct Answer is C

Explanation

A. While dietary iron restrictions could contribute to iron deficiency anemia, chronic blood loss is a more direct consequence of ulcerative colitis.
B. Intestinal parasites could cause anemia through various mechanisms, but it's not directly related to ulcerative colitis unless the client has a co-infection.
C. Chronic blood loss is a common manifestation of ulcerative colitis due to inflammation and ulceration of the colon's mucosal lining. This chronic blood loss can lead to iron deficiency
anemia over time.

D. Intestinal malabsorption syndrome may occur in some cases of ulcerative colitis, but it's not typically the primary cause of anemia in these patients. Chronic blood loss is a more direct
mechanism.

A. Nonfat milk B. Apples C. Oatmeal D. Chocolate

Correct Answer is D

Explanation

A. Nonfat milk is generally well-tolerated and may be suitable for individuals with GERD. It is not typically included in the list of foods to avoid.
B. Apples are typically well-tolerated and may even provide relief from symptoms of GERD for some individuals. They are not typically included in the list of foods to avoid.

C. Oatmeal is a bland and low-acidic food that is generally well-tolerated by individuals with GERD. It is not typically included in the list of foods to avoid.
D. Chocolate is a known trigger for GERD symptoms due to its high fat content and the
presence of caffeine and other compounds that can relax the lower esophageal sphincter, leading to reflux. Therefore, it is recommended to avoid chocolate for individuals with GERD.

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A charge nurse is reviewing the list of tasks that have been delegated to the assistive personnel (AP) by the staff nurse. Which of the following tasks should the charge nurse reassign to a licensed nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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