A nurse has several tasks to delegate to assistive personnel (AP). Which of the following tasks should the nurse ask the AP to perform first?

Obtain a routine urine sample from a newly-admitted client.

Pass fresh water to clients on the unit.

Transport a client to the radiology department for an x-ray.

Take an arterial blood gas (ABG) specimen to the laboratory.

Answer and Explanation

The Correct Answer is D

Choice A reason: Obtaining a routine urine sample from a newly-admitted client is an important task for the nurse to delegate to assistive personnel (AP). While this is essential for assessing the client's baseline health status and planning further care, it is not as urgent as taking an arterial blood gas specimen to the laboratory, which is time-sensitive.

Choice B reason: Passing fresh water to clients on the unit is an essential routine task to ensure clients stay hydrated. However, this task does not have the same level of urgency compared to taking an arterial blood gas specimen to the laboratory. This can be done after more critical tasks are completed.

Choice C reason: Transporting a client to the radiology department for an x-ray is a necessary step in diagnostic imaging, but it does not carry the same level of urgency as taking an arterial blood gas specimen to the laboratory. Arterial blood gas results are critical for evaluating and managing a client's respiratory and metabolic status.

Choice D reason: Taking an arterial blood gas (ABG) specimen to the laboratory is a top priority because the results are time-sensitive and crucial for the immediate assessment and management of a client's respiratory and metabolic function. Delaying this task could impact the timely diagnosis and treatment of potentially serious conditions, making it the most urgent task to delegate first.

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Correct Answer is B

Explanation

Choice A reason: This posture, known as the tripod position, is common among clients with emphysema as it helps them breathe more easily by using accessory muscles. While it indicates respiratory distress, it is not immediately life-threatening.

Choice B reason: A respiratory rate of 8 breaths/min is significantly below the normal range (12-20 breaths/min) and indicates hypoventilation, which can lead to life-threatening conditions such as hypercapnia (elevated carbon dioxide levels in the blood). This finding needs immediate attention from the provider.

Choice C reason: A barrel chest is a common physical finding in clients with chronic emphysema. It develops over time due to hyperinflation of the lungs but is not an urgent finding that needs immediate reporting.

Choice D reason: Fine bibasilar crackles can indicate fluid accumulation in the lungs or other lung pathology, but this finding alone does not necessarily require immediate intervention unless accompanied by other critical symptoms.

A. Radiology B. Hospital Security C. Hospital Housekeeping D. Dietary E. Registration

Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason: The radiology department plays a crucial role in mass casualty incidents by providing imaging services to diagnose and assess the extent of injuries. Involving radiology in the drill planning process ensures that they are prepared to handle a sudden influx of patients.

Choice B reason: Hospital security is essential for managing crowd control, maintaining order, and ensuring the safety of patients, staff, and visitors during a mass casualty incident. Their involvement in the drill planning process is necessary to coordinate security measures effectively.

Choice C reason: Hospital housekeeping is responsible for maintaining cleanliness and sanitation, which is especially important during a mass casualty incident to prevent the spread of infections and ensure a safe environment for patient care. Their participation in the drill planning helps prepare them for increased demands.

Choice D reason: The dietary department, while important for overall patient care, is not immediately critical in the context of a mass casualty drill. The focus of such drills is typically on urgent medical care, security, and logistical coordination.

Choice E reason: The registration department is vital for efficiently processing and documenting patient information during a mass casualty incident. Their involvement in the drill planning process ensures that they are prepared to handle a large number of patients quickly and accurately.

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A nurse has several tasks to delegate to assistive personnel (AP). Which of the following tasks should the nurse ask the AP to perform first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client with a diagnosis of acute emphysema. The client is receiving oxygen at a flow rate of 5 L/min by nasal cannula. Which assessment findings should be reported to the provider immediately?

Correct Answer is B

Explanation

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Correct Answer is ["A","B","C","E"]

Explanation

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