A nurse is caring for four clients. Which of the following tasks can the nurse delegate to an assistive personnel?

Provide discharge instructions.

Perform chest compressions during cardiac resuscitation

Perform a dressing change for a new amputee

Assess effectiveness of antiemetic medication

Answer and Explanation

The Correct Answer is B

A. Provide discharge instructions: Delivering discharge teaching requires nursing judgment, individualized education, and assessment of the client’s understanding. This task cannot be delegated to assistive personnel because it involves critical thinking and evaluation to ensure safe and effective patient self-care.

B. Perform chest compressions during cardiac resuscitation: Performing chest compressions is a technical skill that does not require nursing judgment and can be safely delegated to assistive personnel. During a code, APs can provide life-saving support under the direction of the RN or code team, making this task appropriate for delegation.

C. Perform a dressing change for a new amputee: Changing a surgical dressing, particularly for a new amputation, requires assessment of the wound, monitoring for signs of infection, and clinical judgment regarding complications. This task should remain the responsibility of the RN and is not suitable for delegation to an AP.

D. Assess effectiveness of antiemetic medication: Evaluating medication effectiveness involves clinical assessment and interpretation of patient response. This requires professional nursing judgment and cannot be delegated, as the RN must decide if additional interventions or medications are necessary.

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Correct Answer is C

Explanation

A. Homan's sign: Homan’s sign is assessed by dorsiflexing the foot to check for calf pain and is used to evaluate for deep vein thrombosis. It is not relevant for diagnosing or assessing meningitis.

B. Trousseau's sign: Trousseau’s sign involves inflating a blood pressure cuff to elicit carpal spasm and is used to assess for hypocalcemia. It is unrelated to meningitis assessment.

C. Brudzinski's sign: Brudzinski’s sign is assessed by flexing the client’s neck; involuntary hip and knee flexion indicates meningeal irritation. This is a classic and important clinical sign in clients with meningitis.

D. Chvostek's sign: Chvostek’s sign is elicited by tapping the facial nerve to assess for hypocalcemia. It is not associated with meningitis assessment and is not relevant in this context.

A. Treat mild to moderate depression B. Enhance the immune system. C. Prevent and treat prostate enlargement D. Improve joint functioning

Correct Answer is D

Explanation

A. Treat mild to moderate depression: Chondroitin and glucosamine do not have antidepressant properties and are not indicated for the treatment of mood disorders. Their mechanism of action is focused on cartilage support, not neurotransmitter modulation or mood regulation.

B. Enhance the immune system: While some supplements may influence immune function, chondroitin and glucosamine are not used for immunomodulation. Their primary role is in musculoskeletal health rather than preventing infections or altering immune responses.

C. Prevent and treat prostate enlargement: These supplements have no effect on prostate tissue or hormonal pathways related to benign prostatic hyperplasia. They are not indicated for urinary or prostate health and do not prevent prostate enlargement.

D. Improve joint functioning: Chondroitin and glucosamine are commonly used to support cartilage structure, reduce joint pain, and improve mobility in conditions such as osteoarthritis. They help maintain joint integrity and may decrease symptoms associated with cartilage degeneration, promoting better overall joint function.

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A nurse is caring for four clients. Which of the following tasks can the nurse delegate to an assistive personnel?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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