A nurse is attempting to use non-pharmacological treatment for pain control. Which treatment could the nurse delegate to the UAP?
Assessing pain status.
Administering a placebo.
Reviewing a pain diary.
Offering a back massage.
The Correct Answer is D
A back massage is a type of cutaneous stimulation that can help reduce pain by activating the gate control theory of pain. Cutaneous stimulation is a non-pharmacological intervention that can be delegated to unlicensed assistive personnel (UAP) or nursing assistive personnel (NAP) under the supervision of a registered nurse.
Choice A is wrong because assessing pain status requires critical thinking and clinical judgment, which are skills that only registered nurses have. Pain assessment is not a task that can be delegated to UAP/NAP.
Choice B is wrong because administering a placebo is a type of pharmacological intervention that involves giving a substance that has no therapeutic effect. Placebos are unethical and ineffective for pain management and should not be used by any health care provider.
Choice C is wrong because reviewing a pain diary involves evaluating the patient’s response to pain interventions and adjusting the plan of care accordingly. This is a complex task that requires nursing knowledge and skills and cannot be delegated to UAP/NAP.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This is because spinach and salads contain a lot of vitamin K, which can make warfarin less effective at preventing blood clots.
Vitamin K helps the blood to clot, so eating foods high in vitamin K can counteract the effect of warfarin.
Choice A is wrong because wheat bread and butter do not contain a lot of vitamin K and do not affect warfarin.
Choice B is wrong because mangoes and tomatoes do not contain a lot of vitamin K and do not affect warfarin.
Choice D is wrong because aged cheeses and wine do not contain a lot of vitamin K and do not affect warfarin.
It is important to keep a stable diet while taking warfarin and avoid sudden changes in the amount of vitamin K intake. Foods that are high in vitamin K include green leafy vegetables, chickpeas, liver, egg yolks, avocado, and olive oil.
These foods should be limited but not eliminated from the diet. Do not drink cranberry or grapefruit juice while taking warfarin as they can increase the risk of bleeding.
Correct Answer is D
Explanation
This question evaluates the client’s understanding of the most important infection control measure for hepatitis A, which is hand hygiene. Hepatitis A is transmitted through ingestion of contaminated food and water or through direct contact with an infectious person’s feces.
Washing hands after using the toilet can prevent the spread of the virus to others and to oneself.
Choice A is wrong because eating raw shellfish is not a risk factor for hepatitis A unless the shellfish is contaminated with the virus from polluted water.
Choice B is wrong because cooking pork products does not affect hepatitis A transmission, as the virus is not found in pork or other meats.
Choice C is wrong because traveling out of the country is not a risk factor for hepatitis A unless the destination has poor sanitation and hygiene conditions.
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