A nurse is caring for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel? (Select all that apply.)
Changing a dressing for a client who has a stage 3 pressure injury
Obtaining a signed consent from a client for a screening colonoscopy
Measuring I &0 for a client who is receiving parenteral nutrition
Providing postmortem care for a client who experienced cardiac arrest
Transferring a client from a bed to a chair with a mechanical lift
Correct Answer : D,E
A. Changing a dressing for a client who has a stage 3 pressure injury: Dressing changes for complex wounds require assessment of the wound, evaluation for signs of infection, and clinical judgment to select appropriate interventions. These responsibilities fall within the nurse’s scope of practice and should not be delegated to assistive personnel.
B. Obtaining a signed consent from a client for a screening colonoscopy: Obtaining informed consent involves explaining the procedure, risks, benefits, and answering client questions, which requires nursing knowledge and legal responsibility. This task cannot be delegated to assistive personnel.
C. Measuring I&O for a client who is receiving parenteral nutrition: Monitoring and documenting intake and output for a client receiving parenteral nutrition involves critical interpretation of fluid balance, which may affect electrolyte management and therapy adjustments. This task requires nursing judgment and is not appropriate for delegation.
D. Providing postmortem care for a client who experienced cardiac arrest: Postmortem care is a routine, noninvasive task that does not require nursing judgment. Assistive personnel can perform this task, including cleaning and positioning the body and preparing the client for the family, making it appropriate for delegation.
E. Transferring a client from a bed to a chair with a mechanical lift: Assisting with safe client mobility using a mechanical lift is within the scope of an assistive personnel’s role. This task does not require clinical decision-making but ensures safety and proper technique, making it suitable for delegation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. 1/2 cup raw carrots: Carrots contain minimal calcium, providing only a small fraction of the daily requirement. While nutritious, they are not an effective source for preventing or managing osteoporosis.
B. 3 oz canned tuna: Tuna is high in protein and omega-3 fatty acids but contains very little calcium. It does not contribute significantly to meeting daily calcium needs essential for bone health.
C. 6 oz low-fat yogurt: Yogurt is rich in calcium and often fortified with vitamin D, making it an excellent dietary source for promoting bone strength. Consuming yogurt helps maintain adequate calcium intake, which is critical for osteoporosis prevention and management.
D. 1 slice whole wheat bread: Whole wheat bread provides some nutrients, including fiber and small amounts of minerals, but its calcium content is low. It is not sufficient to meet the dietary calcium requirements needed to support bone health.
Correct Answer is A
Explanation
A. Tetany: Calcium is essential for proper neuromuscular function. A deficiency can lead to increased neuromuscular excitability, resulting in muscle spasms, cramps, and tetany, which are hallmark signs of hypocalcemia.
B. Anemia: Anemia is typically related to deficiencies in iron, vitamin B12, or folate, not calcium. While calcium plays roles in other body functions, it is not a direct factor in hemoglobin synthesis or red blood cell production.
C. Kidney stones: Kidney stones are more commonly associated with hypercalcemia or high calcium excretion rather than calcium deficiency. Low calcium intake may actually increase oxalate absorption, but it is not a direct cause of stones.
D. Osteoarthritis: Osteoarthritis is a degenerative joint disease influenced by age, joint stress, and cartilage wear. Calcium deficiency affects bone density (leading to osteoporosis) rather than the cartilage degeneration seen in osteoarthritis.
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