A nurse in a long-term care facility is making client care assignments for the unit. Which of the following tasks should the nurse assign to an assistive personnel?
Changing a sterile dressing on a client's open wound
Performing postmortem care for a client
Interpreting a client's laboratory values
Inserting a client's NG tube
The Correct Answer is B
Rationale:
A. Changing a sterile dressing on a client's open wound: Sterile procedures require nursing judgment and knowledge of aseptic technique. This task falls within the scope of practice for licensed nurses, not assistive personnel.
B. Performing postmortem care for a client: Postmortem care, such as cleaning the body and preparing it for transport, is a non-sterile, routine task that can be safely delegated to assistive personnel in accordance with facility policy and under nurse supervision.
C. Interpreting a client's laboratory values: Interpretation of lab results requires clinical judgment and is the responsibility of licensed personnel. Assistive personnel are not trained or authorized to interpret clinical data.
D. Inserting a client's NG tube: Inserting a nasogastric tube is an invasive procedure that requires assessment and verification of placement. This task is beyond the scope of assistive personnel and should be performed by a nurse.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. Administer disulfiram: Disulfiram is used to deter alcohol consumption by causing unpleasant effects when alcohol is consumed. It has no therapeutic use in the treatment of gambling disorders and would not address the behavioral or psychological components involved.
B. Encourage participation in exposure therapy: Exposure therapy is typically used for anxiety disorders, such as phobias or post-traumatic stress disorder. It is not a standard treatment for gambling disorder, which requires cognitive and behavioral interventions tailored to impulse control.
C. Administer memantine: Memantine is primarily used to manage symptoms of Alzheimer’s disease and is not an approved or evidence-based treatment for gambling disorder. Its mechanism of action is unrelated to the neurobiology of behavioral addictions like gambling.
D. Recommend client join a self-help group: Self-help groups like Gamblers Anonymous provide peer support and structured recovery programs that address compulsive gambling behaviors. Participation can foster accountability, emotional support, and behavioral change, making this a relevant and effective nursing intervention.
Correct Answer is B
Explanation
Rationale:
A. This image shows a newborn with normal skin tone and no visible skin lesions. There are no signs of erythema, pustules, or macules that would suggest erythema toxicum.
B. This image displays multiple small, erythematous macules and papules, especially on the face. These are classic signs of erythema toxicum neonatorum, a common and harmless rash seen in the first days of life.
C. The newborn in this image has generally red skin, which could be due to normal newborn circulation changes or mild erythema, but it lacks the distinctive papular or pustular rash pattern seen in erythema toxicum.
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