A nurse is coordinating care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

A. Assess the pain level of a client who has received acetaminophen.

Check a client's peripheral IV site for redness or swelling.

Measure the intake and output of a client who has received furosemide.

Reinforce teaching with a client about crutch-gait walking.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Assessing pain levels is a nursing task requiring clinical judgment, which is beyond the scope of an assistive personnel's duties.

Choice B rationale

Checking an IV site for redness or swelling also requires clinical assessment skills, which are tasks for the nurse.

Choice C rationale

Measuring intake and output is a routine task that can be safely delegated to an assistive personnel. It involves straightforward measurement and recording.

Choice D rationale

Reinforcing teaching about crutch-gait walking requires specific patient education, which falls under the nurse's responsibilities.

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Correct Answer is C

Explanation

Choice A rationale

Suggesting that the family member contact a grief counselor may be helpful, but it does not address their immediate need to help. Involving the family member in care can provide emotional support and a sense of purpose.

Choice B rationale

Describing a personal experience with the death of a family member may offer empathy but can shift the focus away from the client's needs. It is essential to keep the conversation centered on the family member's desire to help.

Choice C rationale

Including the family member in providing care for the client is an appropriate action. It allows them to participate actively, provides emotional support, and can be comforting for both the client and the family member.

Choice D rationale

Asking if the family member has had prior experience with the death of a family member may be relevant but does not directly address their desire to help. It is more effective to involve them in the care process immediately. .

A. "I might have headaches due to a decline in my estrogen levels.”. B. "I should stop receiving Papanicolaou tests once I reach menopause.”. C. "I can expect to have regular periods until I am in menopause.”. D. "The best time to perform a breast self-examination is on the first day of my period.”.

Correct Answer is A

Explanation

Choice A rationale

Declining estrogen levels during perimenopause can indeed cause headaches. Estrogen influences neurotransmitters like serotonin, and its decline can lead to vasodilation, contributing to headaches.

Choice B rationale

Papanicolaou tests should continue even after menopause. Cervical cancer risk persists, and regular screening remains essential for early detection.

Choice C rationale

Perimenopause involves irregular periods. It's common for menstrual cycles to become erratic before they eventually cease at menopause.

Choice D rationale

The best time for a breast self-examination is after menstruation ends, when breasts are less tender and swollen. Doing it on the first day of the period is not recommended.

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A nurse is coordinating care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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