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?
Perform CPR on the client.
Assist with airway intubation.
Maintain IV access.
Place defibrillator pads on the client.
The Correct Answer is A
A. Perform CPR on the client:
CPR (Cardiopulmonary Resuscitation) is a critical and time-sensitive intervention during a cardiac arrest. An assistive personnel trained in CPR can initiate chest compressions while awaiting further medical assistance.
B. Assist with airway intubation:
Airway intubation is a more advanced skill typically performed by healthcare providers such as physicians or advanced practice nurses. It is beyond the scope of practice for most assistive personnel.
C. Maintain IV access:
Maintaining IV access may require specific skills and knowledge about medications and fluids. While some assistive personnel may be trained in certain aspects of IV care, the level of expertise needed during a cardiac arrest may be beyond their scope.
D. Place defibrillator pads on the client:
Applying defibrillator pads involves handling medical equipment and making critical decisions about when to deliver a shock. This task is typically performed by healthcare providers trained in advanced cardiac life support (ACLS).
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. In team nursing, an RN assumes the role of a team leader or coordinator. The RN oversees and coordinates the care provided by other team members, which may include licensed practical nurses (LPNs), nursing assistants, and other healthcare professionals. The team collaborates to meet the needs of a group of clients.
B. Caring for the same clients throughout their hospitalization is more characteristic of primary nursing, where an RN takes primary responsibility for the care of a specific group of clients.
C. Linking community resources with clients to ensure quality care is more aligned with case management or community health nursing, where the focus is on coordinating services across healthcare settings and connecting clients with appropriate resources.
D. Providing every aspect of care for a group of clients during a shift is not consistent with team nursing. In team nursing, the workload is distributed among team members, and an RN typically coordinates and oversees the care provided by the team.
Correct Answer is D
Explanation
A. A dietitian is typically involved in addressing nutritional needs and dietary concerns. While nutrition is important for overall health, it may not directly address the client's difficulty with fine motor skills.
B. A physical therapist is more focused on addressing gross motor skills, mobility, and physical function. While physical therapy may be beneficial for individuals with rheumatoid arthritis, it may not specifically address fine motor skill difficulties.
C. A pharmacist is responsible for managing medications and providing information about medications. While medication management is crucial for clients with rheumatoid arthritis, a pharmacist is not the primary referral for addressing fine motor skills.
D. Occupational therapist is the most appropriate referral for a client with difficulty in fine motor skills. Occupational therapists specialize in helping individuals develop or regain the skills needed for daily living activities, including fine motor skills. They can provide strategies, exercises, and adaptive techniques to improve the client's ability to perform activities such as dressing, grooming, and other tasks requiring fine motor coordination.
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