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 D

Explanation

Choice A rationale: Instructing unlicensed assisted personnel to transfer non-ambulatory clients via wheelchairs may delay the evacuation process and put clients at risk. Choice B rationale: Announcing that visitors should proceed immediately to the first floor via the service elevators may cause congestion and hinder the evacuation of clients.

Choice C rationale: Shutting all doors to client rooms and telling everyone to stay in their rooms is not a safe strategy during a fire evacuation. It may increase the risk of harm to clients and staff.

Choice D rationale: Instructing the nursing staff to evacuate ambulatory clients to the nearest fire exits is the most appropriate and timely action to ensure the safety of both clients and staff during a fire evacuation.

A. Explain the procedure again in detail and clarify any misperceptions. B. Postpone the procedure until the client understands the risks/benefits. C. Call the client's next of kin and have them provide verbal consent. D. Notify the healthcare provider of the client's lack of understanding.

Correct Answer is D

Explanation

Choice A rationale: It is the role of the heathcare provider to provide the patient with explanation for the procedure and ensure their understanding.

Choice B rationale: Postponing the procedure may not be necessary if the client's concerns can be adequately addressed through communication and education. Choice C rationale: Calling the client's next of kin for verbal consent is not appropriate in this situation, as the client is capable of providing informed consent once concerns are addressed.

Choice D rationale: Notifying the healthcare provider isnecessary as it is their role to obtain informed consent. They should also address any patient specific concerns

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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

A fire is reported in the kitchen on the first floor of a three-floor community hospital, and the operator notifies the charge nurse on the third floor to start evacuation procedures. Which intervention should the charge nurse implement?

Correct Answer is D

Explanation

Correct Answer is D

Explanation

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