A nurse and assistive personnel (AP) are caring for a client who requests a PRN pain medication. After the nurse administers the medication, which of the following tasks should the nurse assign to the AP?
Document the client's respiratory rate in 1 hr.
Monitor the client for an allergic reaction for 30 min.
Check the client's response to the medication in 1 hr.
Evaluate the client for therapeutic effects in 30 min.
The Correct Answer is A
After the nurse administers a PRN pain medication to a client, the nurse can assign the assistive personnel (AP) to document the client's respiratory rate in 1 hour. This is within the scope of practice of an AP.
The other tasks are not appropriate for an AP to perform.
Monitoring the client for an allergic reaction and evaluating the client for therapeutic effects are both nursing assessments that should be performed by the nurse.
Checking the client's response to the medication is also a nursing assessment that should be performed by the nurse.
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Related Questions
Correct Answer is A
Explanation
a. Giving broad openings
The nurse is using the therapeutic technique of giving broad openings. This technique encourages the client to freely express themselves and choose the focus of the conversation. By asking, "What has been happening with you today?" the nurse is inviting the client to share their thoughts, feelings, and experiences without imposing any specific topic or direction.
Explanation for the other options:
b. Focusing: Focusing is a therapeutic technique where the nurse directs the conversation to a specific topic or issue. In this scenario, the nurse is not guiding the client's response toward a particular area of discussion.
c. Reflecting: Reflecting is a therapeutic technique where the nurse repeats or paraphrases the client's words or feelings to demonstrate understanding and encourage further exploration. The nurse's statement in this scenario does not involve reflecting the client's words or feelings.
d. Seeking clarification: Seeking clarification is a therapeutic technique used to obtain more specific information or clear up any confusion. The nurse's statement in this scenario does not involve seeking clarification from the client.
In summary, by using a broad opening, the nurse allows the client to choose the focus of the conversation
and encourages them to share their experiences and concerns.
Correct Answer is A
Explanation
Chronic constipation is a common finding in clients with hemorrhoids. Constipation can increase pressure on the veins in the rectum and anus, leading to the development of hemorrhoids.
The other options are not correct because:
b) Excessive flatulence is not mentioned as a common finding in clients with hemorrhoids.
c) Frequent stools are not mentioned as a common finding in clients with hemorrhoids.
d) Fecal incontinence is not mentioned as a common finding in clients with hemorrhoids.
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