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A nurse is caring for a client who has a wound infection. Which tasks can the nurse delegate to the unlicensed assistive personnel (UAP)? (SELECT ALL THAT APPLY)

Assessing the wound

Emptying the urine from the indwelling catheter bag

Documenting the client's response to the antibiotic

Taking an oral temperature.

Checking for tunneling with a cotton tipped applicator

Answer and Explanation

Correct Answer : B,D

A. Assessing the wound requires specialized training and should be performed by licensed nursing personnel.

B. Emptying the urine from the indwelling catheter bag is within the scope of practice for UAP.

C. Documenting the client's response to the antibiotic requires interpretation and assessment, which should be done by licensed nursing personnel.

D. Taking an oral temperature is within the scope of practice for UAP.

E. Checking for tunneling with a cotton-tipped applicator requires specialized training and should be performed by licensed nursing personnel.

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Correct Answer is B

Explanation

A. Using a filtered needle when mixing medications can be important to prevent contamination but is not specifically related to the medication's formulation or properties.

B. Using a filtered needle is most critical when drawing medication from an ampule to remove any particulate matter such as glass or debris that may be present.

C. Reconstituting medications may require a filtered needle to prevent contamination, but it's not the primary reason for using a filtered needle.

D. Whether a medication is clear or not does not determine the necessity of using a filtered needle; it's more related to the method of storage and packaging, such as ampules.

A. tell the nurse manager. B. check the client's BP & HR. C. notify the charge nurse & client's physician. D. submit an occurrence report

Correct Answer is B

Explanation

A. Notifying the nurse manager may be appropriate but is not the immediate action needed.

B. Checking the client's blood pressure and heart rate is the first action to assess the client's condition and any potential effects of the medication error.

C. Notifying the charge nurse and client's physician may be necessary but is not the immediate action needed before assessing the client.

D. Submitting an occurrence report is important for documenting the error but is not the immediate action needed before assessing the client.

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A nurse is caring for a client who has a wound infection. Which tasks can the nurse delegate to the unlicensed assistive personnel (UAP)? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

It is most critical for the nurse to use a filtered needle when preparing a parenteral medication that:

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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