A nurse is assigning tasks to an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

Change a dressing on an implanted central venous access device.

Remove an NG tube.

Suction a new tracheostomy.

Perform postmortem care.

Answer and Explanation

The Correct Answer is D

A.   Changing a dressing on an implanted central venous access device involves a sterile procedure and assessment, requiring the skills and knowledge of a licensed nurse.
B.   Removing an NG tube is a task beyond an AP’s scope and requires the specialized skills of a registered nurse.
C.   Suctioning a tracheostomy requires specialised training and skill to perform safely and should not be delegated to assistive personnel.
D.   Performing postmortem is within the scope of an assistive personnel. It does not require any specialized skills and knowledge of a registered nurse.

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Correct Answer is B

Explanation

A. Administering oral acetaminophen would not be effective for hyperthermia caused by non-infectious factors, such as heat exposure or medications. Acetaminophen lowers the body temperature by reducing the hypothalamic set point, which is not altered in hyperthermia. Additionally, oral medications may be difficult to swallow or absorb in a hyperthermic patient.

B. Hyperthermia can cause neurological complications, such as seizures, confusion, or coma. Therefore, the nurse should initiate seizure precautions for an adolescent who has hyperthermia to prevent injury and protect the airway.
C. Submerging the feet in ice water is not recommended as it can cause vasoconstriction and shivering, which may increase the body temperature. Instead, tepid sponging and providing a cool environment can be beneficial.
D. Covering the adolescent with a thermal blanket would retain body heat and exacerbate hyperthermia, counteracting efforts to lower the body temperature.

A. Elevated toilet seats B. No stairs in the home C. Reclining chair with a straight back D. Large soaking tub without a shower head

Correct Answer is D

Explanation

A: Elevated toilet seats are often recommended following hip surgery to reduce strain, not increase the risk of injury.
B: No stairs in the home is generally a positive feature for a client following hip surgery, reducing fall risk.
C: A reclining chair with a straight back may provide comfortable seating without increasing the risk of injury.
D: A large soaking tub without a shower head can increase the risk of falls and injury due to difficulty getting in and out of the tub, especially for a client recovering from hip surgery.

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A nurse is assigning tasks to an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an adolescent who has hyperthermia. Which of the following actions should the nurse take?

Correct Answer is B

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Correct Answer is D

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