A nurse has assigned an assistive personnel (AP) to perform a gastrostomy feeding for a client who has been receiving feedings at home. Which of the following actions should the nurse take to monitor the AP's performance of the task?
Tell the AP to list the steps of the task.
Instruct the AP to report back once the task is complete.
Ask the family if the AP performed the task correctly.
Request the AP to provide a return demonstration of the task.
The Correct Answer is D
A. Telling the AP to list the steps of the task is not sufficient to ensure correct performance. It may show knowledge of the steps, but it does not ensure the AP is performing the task correctly or safely.
B. Instructing the AP to report back once the task is complete does not allow the nurse to actively observe the AP’s technique or provide feedback on performance.
C. Asking the family if the AP performed the task correctly may provide subjective input, but the nurse is responsible for assessing and ensuring the proper completion of nursing tasks.
D. Requesting the AP to provide a return demonstration of the task is the best method. This allows the nurse to directly observe the AP’s technique, correct any errors, and ensure that the task is performed according to the prescribed standards. This also serves as a valuable teaching opportunity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Anorexia: This is not a common or serious adverse effect of heparin. It is not usually a priority for reporting to the provider.
B. Epistaxis: This is correct. Heparin is an anticoagulant, and one of the major risks associated with its use is bleeding. Epistaxis (nosebleeds) is a common sign of bleeding that could be a result of heparin therapy, and it should be reported to the provider promptly.
C. Bradycardia: Bradycardia is not a common adverse effect of heparin. Heparin primarily affects clotting mechanisms, not heart rate.
D. Weight gain: Weight gain is not a typical adverse effect of heparin. If the weight gain is significant or linked to fluid retention, it may need to be assessed, but it is not a typical reaction to heparin.
Correct Answer is B
Explanation
A. Store the dentures in a dry denture cup on the bedside table after cleaning.: Dentures should not be stored in a dry cup as this can lead to drying out and warping of the dentures. They should be stored in water or a denture solution to keep them moist.
B. Place a towel in the sink when cleaning the dentures.: This is correct. Placing a towel in the sink is a safety precaution to prevent dentures from breaking if they are accidentally dropped while being cleaned. It also helps prevent damage from impact with hard surfaces.
C. Remove the lower dentures before the upper dentures.: There is no specific order required for removing dentures, as both upper and lower dentures should be removed carefully and cleaned.
D. Use a circular motion to cleanse the biting surface of the dentures.: A circular motion is not the best technique for cleaning dentures. Instead, the dentures should be brushed gently with a soft toothbrush, focusing on cleaning all surfaces, including the biting surfaces, using a back-and-forth motion.
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