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 C

Explanation

A. Placing a newborn in a forward-facing car seat is unsafe and not recommended due to the risk of injury in case of a crash.
B. Turning the baby's car seat around at 15 pounds is too early. Rear-facing car seats are recommended until the child reaches the weight or height limit set by the manufacturer.
C. Positioning the baby at a 45-degree angle in the car seat helps prevent airway obstruction and allows for proper breathing and spinal alignment.
D. Placing a baby in the front seat, even with the airbag turned off, is not recommended due to the risk of injury from airbag deployment.

A. Provide a cooling blanket. B. Monitor the client's cardiac rhythm. C. Administer 0.9% sodium chloride IV. D. Obtain the client's blood glucose.

Correct Answer is B

Explanation

A. Providing a cooling blanket may help reduce fever associated with a thyroid storm but is not the priority over monitoring the cardiac rhythm.
B. In a thyroid storm, the client is at risk for severe cardiovascular complications, including tachycardia, arrhythmias, and heart failure. Therefore, the nurse's priority action is to monitor the client's cardiac rhythm continuously to detect any abnormalities promptly and intervene as needed.
C. Administering 0.9% sodium chloride IV may be necessary to maintain fluid balance, but it's not the priority over cardiac monitoring.
D. Obtaining the client's blood glucose may be relevant but is not the priority in the acute management of a thyroid storm.

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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?

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Naxlex Comprehensive Predictor Exams

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