A nurse is delegating care to an assistive personnel. Which of the following assignments should the nurse make?

Taking the vital signs of a client who is experiencing acute angina

Collecting a urine specimen from a client who is experiencing dysuria

Answering a telephone inquiry about NPO status from a client who is scheduled for a procedure

Reinforcing teaching with a client about stool specimen collection

Answer and Explanation

The Correct Answer is B

A.   Taking the vital signs of a client who is experiencing acute angina. Acute angina is a potentially unstable condition requiring assessment by a nurse.
B.   Collecting a urine specimen from a client who is experiencing dysuria. APs can perform routine specimen collection tasks.
C.   Answering a telephone inquiry about NPO status from a client who is scheduled for a procedure. Only licensed nurses should provide pre-procedure instructions.
D.   Reinforcing teaching with a client about stool specimen collection. Reinforcement of teaching involves assessment and evaluation, which are the nurse’s responsibilities.

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Correct Answer is D

Explanation

A. "I respect your right to choose to discontinue treatment." This demonstrates respect for autonomy but does not specifically convey veracity (truthfulness).
B. "I will have a hospice nurse come discuss this kind of care with you." This is an appropriate action but does not directly reflect truthfulness.
C. "I'll work with hospice services to help you transition to their care." This statement demonstrates support but does not explicitly involve truth-telling.
D. "I will answer any questions you have about hospice care honestly." This directly addresses the ethical principle of veracity by ensuring truthful communication with the client.

A. Client 5 B. Client 4 C. Client 3 D. Client 2 E. Client 1

Correct Answer is ["B","E"]

Explanation

A. Client 5 (Streptococcal pharyngitis): Proper isolation and precautions were implemented, including a private room and surgical mask during transport. No follow-up is needed.
B. Client 4 (Mycobacterium tuberculosis): Requires follow-up. Tuberculosis requires a negative pressure room, not a positive airflow room. Positive airflow rooms are used for clients who need protection from outside pathogens, such as those who are immunocompromised.
C. Client 3 (Herpes simplex): Correct precautions were implemented. Herpes simplex (when involving open lesions) requires contact precautions, including gown and gloves. No follow-up is necessary.
D. Client 2 (Clostridium difficile): Appropriate precautions were taken, including a private room and the use of gown and gloves for direct care. No follow-up is needed.
E. Client 1 (Pertussis): Requires follow-up. Pertussis is transmitted via respiratory droplets, but placing the client in a negative pressure room is unnecessary. Droplet precautions (standard private room and surgical mask use within 3 feet) are sufficient. Negative pressure rooms are reserved for airborne infections such as tuberculosis.

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A nurse is delegating care to an assistive personnel. Which of the following assignments should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a terminal illness and wishes to discuss hospice care. Which of the following statements by the nurse demonstrates veracity?

Correct Answer is D

Explanation

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Correct Answer is ["B","E"]

Explanation

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