A nurse is caring for a client who has just returned to the unit from the PACU. Which of the following tasks should the nurse assign to the assistive personnel?
Obtain the client's vital signs:
Check the client's dressing for bleeding.
Ask the client if he requires pain medication.
Assist the nurse to transfer the client to the bed.
The Correct Answer is D
A. While APs may obtain vital signs for stable clients, a client returning from the PACU requires initial assessment by a licensed nurse to identify any complications.
B. This is an assessment task and must be performed by a nurse.
C. Assessing pain and determining the need for medication is a nursing responsibility that requires clinical judgment.
D. Assisting with mobility and transfers is within the scope of practice for assistive personnel, especially when done under nurse supervision.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A.The research participant must provide informed consent voluntarily before enrolling in a study, ensuring they understand the risks and benefits.
B.The institutional review board reviews and approves the study protocol but does not provide individual consent.
C.The chair of the ethics committee oversees ethical concerns but does not give consent on behalf of participants.
D.The risk manager addresses organizational risk but is not involved in obtaining informed consent from participants.
Correct Answer is D
Explanation
A.A registered dietitian can assist with nutrition planning but is not the first priority when a client has feeding difficulties potentially related to swallowing.
B.A respiratory therapist is not indicated based on the client’s current symptoms of weakness and difficulty feeding.
C. A speech-language pathologist evaluates swallowing and communication, which may be important, but the client’s primary issue is self-feeding due to right-sided weakness.
D. An occupational therapist specializes in helping clients regain independence in activities of daily living, including feeding, dressing, and grooming, making this referral the priority for improving functional independence.
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