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.
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Related Questions
Correct Answer is B
Explanation
A.Setting up in-home physical therapycan support long-term function but is not the most immediate concern.
B. Since the client has a new diagnosis of COPDand lives alone, ensuring their home environment is safeis the priorityto reduce fall risk, ensure access to oxygen if needed, and prevent complications.
C.Providing printed materialsis important for education but not the highest priority for safety.
D.Suggesting a support grouphelps with emotional needs but is a lower priority than ensuring the client’s immediate physical safety at home.
Correct Answer is ["B","D"]
Explanation
A.Obtaining a provider’s order is not required to complete an incident report.
B.The report should accurately include details such as the medication name and dosage involved in the error.
C.Keeping a personal copy of the incident report is not appropriate due to confidentiality and legal considerations.
D.Documenting the exact time of the error is important for an accurate and thorough report.
E.Incident reports are confidential and should not be placed in the client’s medical record.
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