A nurse is delegating client care tasks to an assistive personnel. Which of the following tasks should the nurse delegate?

Performing a simple dressing change

Inserting an NG tube

Changing IV tubing

Evaluating the healing of an incision

Answer and Explanation

The Correct Answer is A

Performing a simple dressing change is a task that can be safely delegated to an assistive personnel who has received appropriate training and competency validation. It involves removing the old dressing, cleaning the wound if necessary, and applying a new dressing

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Correct Answer is B

Explanation

A. Mixing medications in a syringe can lead to potential drug interactions, changes in medication efficacy, or altered drug absorption. Each medication should be administered separately to maintain their individual therapeutic effects.

B. Each medication should be diluted with sterile water to ensure it can pass through the NG tube without clogging and to facilitate proper absorption.

C.Flushing the NG tube with 5 mL of sterile water is generally not enough. The tube should be flushed with a sufficient amount of water (usually 15-30 mL) before and after administering medications to ensure that the medications are delivered properly and to prevent clogging.

D.Medications should not be combined with the formula in the feeding bag. This can alter the effectiveness of both the medications and the feeding formula.

A. Locate liver and spleen borders by pressing hands 2.5 to 7.5 cm (1 to 3 in) into the abdomen. B. Check for areas of tenderness by pressing fingers 1.3 cm (0.5 in) into the abdomen. C. Listen to the abdominal arteries using the bell of a stethoscope. D. Percuss all four quadrants of the abdomen to measure sound quality. E. Provide adequate lighting to inspect the abdomen.

Correct Answer is E,C,D,B,A

Explanation

To perform a physical assessment of a client's abdomen, the nurse should follow the following sequence:
1. Provide adequate lighting to inspect the abdomen.
2. Listen to the abdominal arteries using the bell of a stethoscope.
3. Percuss all four quadrants of the abdomen to measure sound quality.
4. Check for areas of tenderness by pressing fingers 1.3 cm (0.5 in) into the abdomen.
5. Locate liver and spleen borders by pressing hands 2.5 to 7.5 cm (1 to 3 in) into the abdomen.

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A nurse is delegating client care tasks to an assistive personnel. Which of the following tasks should the nurse delegate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer several medications via NG tube to a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is preparing to perform a physical assessment of a client's abdomen. Identify the sequence in which the nurse should perform the following steps. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is E,C,D,B,A

Explanation

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