A nurse is delegating client care to an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?
A. Administering vaginal cream to a client who has a vaginal infection.
Providing postmortem care for a client who has just died.
Suctioning a tracheostomy for a client who has a recent head injury.
Changing a peripheral IV dressing for a client who is postoperative.
The Correct Answer is B
Choice A rationale
Administering vaginal cream is a medication administration task requiring knowledge and skills within the licensed nurse's scope of practice. Assistive personnel (AP) are not authorized to perform this procedure due to the potential for complications and the need for clinical judgment.
Choice B rationale
Providing postmortem care is a task that AP can perform as it involves basic care activities, such as bathing and positioning, which do not require specialized nursing skills. This allows the nurse to focus on more complex patient needs.
Choice C rationale
Suctioning a tracheostomy is a procedure that requires clinical assessment and intervention skills. Due to the potential for complications, it is within the licensed nurse's scope of practice, not the AP's.
Choice D rationale
Changing a peripheral IV dressing involves assessment skills and requires sterile technique to prevent infection. This task is beyond the scope of practice for AP and should be performed by a licensed nurse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Keeping the client's room well lit is not typically beneficial for pain management and may even be counterproductive for clients who need rest or reduced sensory stimuli to manage pain effectively.
Choice B rationale
Encouraging the client to abstain from distracting activities is not recommended. Distraction techniques, such as engaging in activities, can be effective in reducing the client's perception of pain.
Choice C rationale
Ensuring that the client's room is kept at a cool temperature may not be effective for pain relief and might cause discomfort, especially if the client prefers warmth.
Choice D rationale
Playing music in the client's room can serve as a distraction and has been shown to reduce the perception of pain. Music therapy can induce relaxation, reduce anxiety, and create a calming environment.
Correct Answer is A,B,C,D,E
Explanation
A. Apply clean gloves.
B. Disconnect the tube from the suction device.
C. Instill 50 mL of air into the tube.
D. Ask the client to take a deep breath.
E. Pinch and withdraw the tube.
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