A client is admitted with exacerbation of chronic obstructive pulmonary disease (COPD) and reports that it is difficult to eat due to shortness of breath (SOB). Which task(s) should the nurse delegate to the unlicensed assistant personnel (UAP)? Select all that apply.

Consult with the registered dietitian about recommended nutritional needs.

Maintain a clean and pleasant environment during meals.

Set up the food and drink containers within easy reach.

Offer high caloric foods such as milk and ice cream.

Answer and Explanation

Correct Answer : B,C,E

Choice A rationale: Consulting with the registered dietitian involves clinical judgment and collaboration with another healthcare professional, which is not within the scope of practice for the UAP.

Choice B rationale: Maintaining a clean and pleasant environment during meals is a task that can be delegated to the UAP to enhance the client's dining experience. Choice C rationale: Setting up the food and drink containers within easy reach is a task that the UAP can perform to facilitate the client's access to meals.

Choice D rationale: Offering specific dietary recommendations, such as high-caloric foods, requires knowledge of nutritional needs, which is beyond the UAP's scope. Choice E rationale: Assisting the client with eating small frequent high-calorie meals is a task that can be delegated to the UAP to support the client's nutritional intake.

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Correct Answer is C

Explanation

Choice A rationale: Asking the healthcare provider to remain on "hold" may cause a delay in addressing the prescription and may not be the most efficient way to handle the situation.

Choice B rationale: Remaining with the client and monitoring vital signs is important, but it may not be necessary for the nurse to take the call personally.

Choice C rationale: Informing the healthcare provider that the nurse will return the phone call as soon as possible is a reasonable and appropriate response to address the prescription in a timely manner.

Choice D rationale: Writing down and repeating back the prescription is a good practice, but it may not address the urgency of the situation and the need for prompt communication with the healthcare provider.

A. Conduct a closer examination of staff nurse's distribution of pain medication from evening shift. B. Hold a mandatory staff meeting to discuss the findings of documentation audits from every shift. C. Question clients about effectiveness of pain medication. D. Discuss with healthcare provider a plan to change client analgesia.

Correct Answer is A

Explanation

Choice A rationale: Conducting a closer examination of staff nurses' distribution of pain medication is the first step to identify any issues or patterns contributing to the higher than-usual administration of narcotic pain medications.

Choice B rationale: Holding a mandatory staff meeting may be necessary, but a focused examination should precede broader discussions.

Choice C rationale: Questioning clients about the effectiveness of pain medication is an important aspect of the investigation but should follow a thorough examination of medication distribution.

Choice D rationale: Discussing with the healthcare provider about changing client analgesia may be considered later based on the findings of the examination.

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A client is admitted with exacerbation of chronic obstructive pulmonary disease (COPD) and reports that it is difficult to eat due to shortness of breath (SOB). Which task(s) should the nurse delegate to the unlicensed assistant personnel (UAP)? Select all that apply.

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

The nurse manager conducts regular audits of patient care medication records and notices that the amount of narcotic pain medications administered during the evening shift on a postsurgical unit is higher than usual. Which action should the nurse manager take first?

Correct Answer is A

Explanation

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