A nurse in an acute care setting is planning care for a group of clients at the beginning of the shift. Which of the following tasks should the nurse assign to the assistive personnel (AP)?

Removal of the nasogastric tube of a client who has been receiving enteral feedings

Monitoring vital signs of a client who had an appendectomy 12 hr ago

Application of antibiotic ointment to the arm of a client who has dermatitis

Obtaining medical history information from a stable client who is being admitted

Answer and Explanation

The Correct Answer is B

Rationale:

A. Removal of the nasogastric tube is a more complex task that typically requires the nurse’s assessment and judgment.

B. Monitoring vital signs is within the scope of tasks that can be assigned to assistive personnel. This task involves routine observation and does not require complex decision-making.

C. Application of antibiotic ointment requires specific knowledge about the condition and treatment, which is generally performed by a nurse.

D. Obtaining medical history information is a task that requires clinical judgment and interaction, and should be done by a nurse rather than an assistive personnel.

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Correct Answer is A

Explanation

Rationale:

A. Respite care provides temporary relief for primary caregivers, giving them time to complete personal tasks or take a break from caregiving responsibilities.

B. Restorative care focuses on improving a client’s ability to perform daily activities and is not specifically aimed at providing caregiver relief.

C. Hospice care is for end-of-life care and is not applicable to the situation described.

D. Mental health care may be necessary if the caregiver is experiencing emotional or psychological stress, but the immediate need described is for respite from caregiving duties.

A. A middle adult male who is diaphoretic and reports epigastric pain B. A toddler who has a laceration on his forehead and is screaming C. An adolescent female client who is belligerent and has slurred speech D. A young adult with a painful sunburn of his face and arms

Correct Answer is A

Explanation

Rationale:

A. Diaphoretic with epigastric pain could be indicative of a myocardial infarction or other severe condition and requires immediate attention.

B. A toddler with a laceration and distress needs care but is not as urgent as potential cardiac issues.

C. An adolescent with slurred speech and belligerence could indicate a neurological issue, but is less immediate than a potential cardiac event.

D. A young adult with a sunburn is painful but not life-threatening compared to other scenarios.

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A nurse in an acute care setting is planning care for a group of clients at the beginning of the shift. Which of the following tasks should the nurse assign to the assistive personnel (AP)?

Nursing Test Bank

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