A home health nurse is working with assistive personnel (AP) to care for a client in their home. Which of the following tasks can the nurse assign to the AP?

Review the client's medications

Notify the case manager of the client's wishes for community resources.

Assist the client with bathing and oral care.

Assess the client's wound.

Answer and Explanation

The Correct Answer is C

A. Reviewing the client's medications requires a higher level of education and training than most assistive personnel have.
B. Notifying the case manager of the client's wishes for community resources requires a higher level of education and training than most assistive personnel have.
C. Assisting the client with bathing and oral care is within the scope of practice for most assistive personnel.
D. Assessing the client's wound requires a higher level of education and training than most assistive personnel have.

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Correct Answer is C

Explanation

A. While infertility can be a side effect of radiation therapy, it is not the most likely side effect for a client receiving radiation to the neck for laryngeal cancer.
B. Diarrhea is not a common side effect of radiation therapy to the neck.
C. Dysphagia, or difficulty swallowing, is a common side effect of radiation therapy to the neck, especially when the radiation affects the throat or esophagus.
D. Dyspnea, or difficulty breathing, is not a common side effect of radiation therapy to the neck, although it may occur if the radiation affects the lungs.

A. Reinforce the importance of daily weights. B. Call the health care provider for further instructions. C. Document the findings and continue with the visit. D. Ensure the client has been taking their prescribed diuretic.

Correct Answer is D

Explanation

A. Reinforce the importance of daily weights. While reinforcing the importance of daily weights is crucial for managing heart failure, it does not address the immediate concern of the patient's weight gain and edema. The nurse needs to take a more direct action to manage the patient's current condition.

B. Call the health care provider for further instructions. Calling the health care provider is a reasonable step, but it may delay immediate intervention that the nurse can perform. Ensuring the patient is taking their prescribed diuretic can provide more immediate relief from fluid retention.

C. Document the findings and continue with the visit. Documenting the findings is necessary for accurate medical records, but it does not address the urgent need to manage the patient's symptoms. Immediate action is required to prevent further complications.

D. Ensure the client has been taking their prescribed diuretic. Ensuring the patient has been taking their prescribed diuretic is the most appropriate immediate action. Diuretics help reduce fluid buildup, which can alleviate the weight gain and edema, providing quick relief and preventing further complications.

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A home health nurse is working with assistive personnel (AP) to care for a client in their home. Which of the following tasks can the nurse assign to the AP?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client scheduled to receive external radiation to the neck for cancer of the larynx. During a pre-treatment exam, the nurse explains to the client that the most likely side effect would be

Correct Answer is C

Explanation

A home health nurse is assessing a patient who has heart failure and notes the patient has had a weight gain of 1.8 kg (4 lb), as well as generalized edema, since the last visit 3 days ago. Which of the following actions should the nurse take next?

Correct Answer is D

Explanation

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