A nurse is assisting with the care of a client who is experiencing a cardiac arrest. Which of the following tasks should the nurse assign to an assistive personnel?

Maintain IV access.

Assist with airway intubation.

Place defibrillator pads on the client.

Perform CPR on the client.

Answer and Explanation

The Correct Answer is D

A.   Maintain IV access. This task requires nursing knowledge and skill to ensure patency and medication administration during a code.
B.   Assist with airway intubation. This is a complex procedure that requires advanced training and is performed by licensed personnel.
C.   Place defibrillator pads on the client. This task should be performed by trained personnel familiar with defibrillator use and cardiac arrest protocols.
D.   Perform CPR on the client. CPR is within the scope of an assistive personnel's responsibilities if they are trained in Basic Life Support (BLS).

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Correct Answer is D

Explanation

A. Select the appropriate dressing: Although selecting the right dressing is essential, it is not the initial step.
B. Document the dressing change: Documentation follows the intervention, not precedes it.
C. Change the dressing: Performing the dressing change without adequate preparation is not the first step.
D. Review available dressing types: Reviewing available dressing options ensures appropriate selection based on the wound's condition and treatment goals.

A. "The client is 2 hours postoperative following a cholecystectomy." B. "The client rates her pain at a 3 on a 0 to 10 pain rating scale." C. "The client has type 2 diabetes mellitus." D. "The client should wear compression stockings."

Correct Answer is B

Explanation

A. "The client is 2 hours postoperative following a cholecystectomy." This belongs in the "B" (Background) section since it provides historical or procedural information.
B. "The client rates her pain at a 3 on a 0 to 10 pain rating scale." This is part of the "A" (Assessment) portion as it involves the nurse's evaluation of the client's current condition.
C. "The client has type 2 diabetes mellitus." This is background information relevant to the client's medical history and should be included in the "B" section.
D. "The client should wear compression stockings." This is part of the "R" (Recommendation) section as it involves future care instructions.

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A nurse is assisting with the care of a client who is experiencing a cardiac arrest. Which of the following tasks should the nurse assign to an assistive personnel?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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