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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Cleaning the hearing aid with isopropyl alcohol is not recommended as it can damage the device. Proper cleaning methods involve using specialized cleaning tools and gentle cleaning solutions.
Choice B rationale
Turning the hearing aid off for 5 minutes is not likely to resolve the whistling sound, which is often caused by feedback issues that need to be addressed through other means such as adjusting the fit or volume.
Choice C rationale
Soaking the hearing aid in warm water is inappropriate and can cause irreparable damage. Hearing aids are electronic devices and should not be submerged in water.
Choice D rationale
Decreasing the volume on the hearing aid can help reduce the whistling sound, which is commonly caused by feedback. Proper fitting and volume adjustments are key to preventing this issue.
Correct Answer is D
Explanation
Choice A rationale
Isopropyl alcohol is effective for general disinfection but is not the best choice for cleaning blood spills because it does not completely eliminate all pathogens, especially certain viruses like hepatitis B.
Choice B rationale
Hydrogen peroxide is not typically used for blood spills as it is less effective against certain pathogens compared to other disinfectants and can potentially damage surfaces over time.
Choice C rationale
Chlorhexidine gluconate is used for skin antisepsis rather than environmental disinfection. It is not the best option for cleaning blood spills due to its limited efficacy against all bloodborne pathogens.
Choice D rationale
Chlorine bleach is the recommended solution for cleaning blood spills as it is highly effective in killing a wide range of pathogens, including viruses like HIV and hepatitis B, ensuring a safe and sanitized area.
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