A nurse is caring for four clients and is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse plan to have the AP perform?

Provide postmortem care for a client who died 1 hr ago.

Reinforce discharge instructions with a client who is 2 days postoperative following an appendectomy.

Interpret deviations in a client's vital signs.

Insert an NG tube for a client who has difficulty eating.

Answer and Explanation

The Correct Answer is A

A. Providing postmortem care is a task that can be delegated to assistive personnel, as it involves following established protocols and does not require clinical judgment.
B. Reinforcing discharge instructions requires clinical knowledge and assessment, making it inappropriate for delegation to an AP.
C. Interpreting deviations in a client's vital signs necessitates nursing judgment and clinical expertise, which an AP does not possess.
D. Inserting an NG tube is a skilled nursing procedure that requires assessment and decision-making, thus it should not be delegated to an AP.

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Correct Answer is B

Explanation

A. While connecting the client with others may provide support, it does not directly address the client’s frustrations or concerns about their therapy.
B. Asking the provider to speak with the client directly can facilitate communication about their concerns and may help address their frustrations regarding the plan of care.
C. Threatening the client with consequences for leaving is not appropriate and may increase their frustration and disengagement from care.
D. It is important to respect the client’s autonomy and right to leave, so informing them they cannot leave is not appropriate or legal without proper discharge procedures being followed.

A. The client has difficulty swallowing. B. The client reports insomnia. C. The client requires additional help to stand. D. The client has increased difficulty dressing.

Correct Answer is A

Explanation

A. Difficulty swallowing (dysphagia) is the priority because it increases the risk of aspiration, which can lead to aspiration pneumonia, a serious and potentially life-threatening complication for clients with Parkinson's disease.
B. Insomnia, while impacting quality of life, is not as immediately life-threatening as aspiration risk.
C. Needing additional help to stand reflects disease progression but does not carry the immediate risk of a life-threatening complication.
D. Difficulty dressing also indicates disease progression but does not pose an immediate danger to the client’s health.

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A nurse is caring for four clients and is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse plan to have the AP perform?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who states, "I am leaving this hospital because I'm frustrated with my therapy." Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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