A nurse is assisting with the care of a group of pediatric clients. Which of the following actions should the nurse take first?

Deliver a breakfast tray to a child who has been administered regular insulin.

Complete pin site care for a child who is in skeletal traction.

Provide clear liquids to a child who is 4 hr postoperative following a laparoscopic appendectomy.

Administer acetaminophen to a child who has a temperature of 101.2°F (38.4°C).

Answer and Explanation

The Correct Answer is A

If a nurse is assisting with the care of a group of pediatric clients, the first action the nurse should take is to deliver a breakfast tray to a child who has been administered regular insulin. This is because regular insulin is a fast-acting insulin that begins to lower blood sugar levels within 15 minutes of administration. It is important for the child to eat shortly after receiving regular insulin to prevent hypoglycemia.
Option B is incorrect because completing pin site care for a child who is in skeletal traction is not as time-sensitive as delivering a breakfast tray to a child who has been administered regular insulin.
Option C is incorrect because providing clear liquids to a child who is 4 hr postoperative following a laparoscopic appendectomy is not as time-sensitive as delivering a breakfast tray to a child who has been administered regular insulin.
Option D is incorrect because administering acetaminophen to a child who has a temperature of 101.2°F (38.4°C) is not as time-sensitive as delivering a breakfast tray to a child who has been administered regular insulin.

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Correct Answer is B

Explanation

When preparing to administer medications, the nurse carefully confirms the drug order and the patient's identity. This adherence to an essential ethical principle is Non-maleficence. Non-maleficencerefers to the principle of "do no harm" and requires healthcare providers to avoid causing harm to their patients.
Option A refers to wrongdoing or misconduct and is not applicable in this situation.
Option C refers to truthfulness and honesty, but it is not the primary principle being demonstrated in this situation.
Option D refers to fairness and equality, but it is not the primary principle being demonstrated in this situation.

A. "The AP should document the client's outcome for a delegated task." B. "The final step in delegation is evaluation of the outcomes." C. "A delegated task does not require predictable outcomes." D. "The nurse gives up accountability for client outcomes when care is delegated."

Correct Answer is B

Explanation

The charge nurse should include the statement "The final step in delegation is evaluation of the outcomes" in the teaching. This is because it is important for the nurse to evaluate the outcomes of delegated tasks to ensure that they have been completed correctly and that the client's needs have been met.
Option A is incorrect because it is not the AP's responsibility to document the client's outcome for a delegated task.
Option C is incorrect because a delegated task should have predictable outcomes.
Option D is incorrect because the nurse does not give up accountability for client outcomes when care is delegated. The nurse remains accountable for ensuring that the delegated task is completed correctly and that the client's needs are met.

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A nurse is assisting with the care of a group of pediatric clients. Which of the following actions should the nurse take first?

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Naxlex Comprehensive Predictor Exams

When preparing to administer medications, the nurse carefully confirms the drug order and the patient's identity. This adherence to an essential ethical principle is:

Correct Answer is B

Explanation

A charge nurse in a long-term care facility reviews client outcomes when delegating tasks to assistive personnel (AP) with a newly licensed nurse. Which of the following statements should the charge nurse include in the teaching?

Correct Answer is B

Explanation

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