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 ["A","D","E"]
Explanation
Choice A rationale
Padding bony prominences helps prevent skin breakdown and pressure ulcers, which are critical considerations when using restraints to avoid additional complications for the client.
Choice B rationale
Tying restraints to the bed rail is unsafe because it can lead to injury if the bed rail is moved. Restraints should be tied to the bed frame to prevent accidental harm.
Choice C rationale
Using a square knot for restraints is inappropriate as it is difficult to untie quickly in an emergency. Quick-release knots are recommended for safety and efficiency.
Choice D rationale
Observing the client's skin integrity every 2 hours is essential to detect early signs of skin breakdown and take preventive actions to ensure the client's comfort and safety.
Choice E rationale
Ensuring that two fingers can fit between the restraint and the client ensures that the restraint is not too tight, allowing for circulation and reducing the risk of injury.
Correct Answer is A
Explanation
Choice A rationale
Choosing foods high in fiber and low in fat is beneficial for maintaining a healthy diet. High-fiber foods help improve digestion, regulate blood sugar levels, and reduce the risk of heart disease, while low-fat foods help control calorie intake and support weight management.
Choice B rationale
Including a variety of fruits and vegetables is crucial for a balanced diet as they provide essential vitamins, minerals, and antioxidants. However, it does not address the need to limit fat intake, which is also important for overall health.
Choice C rationale
Drinking plenty of water throughout the day is vital for staying hydrated and supporting bodily functions. Nevertheless, it does not directly impact the intake of fiber and fat, which are key components of a healthy diet.
Choice D rationale
Limiting the intake of sugary and processed foods is important for reducing the risk of various health issues such as obesity, diabetes, and heart disease. However, it does not emphasize the importance of high fiber and low-fat foods, which are essential for a healthy diet. o
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