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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Testing the client's emesis for blood is important but may not provide immediate information about the client's current status. Assessment of orthostatic blood pressure takes precedence as it can indicate significant blood loss and the need for immediate intervention.
B. Assessing orthostatic blood pressure is the priority action because it provides information about the client's volume status and potential hypovolemia due to gastrointestinal bleeding.
C. Explaining the procedure for an upper gastrointestinal series is important for diagnostic purposes but is not the priority in the acute management of gastrointestinal bleeding.
D. Administering pain medication may be necessary but is not the priority action. Assessing and stabilizing the client's condition take precedence.
Correct Answer is A
Explanation
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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