A nurse is delegating client care to an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

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

Answer and Explanation

The Correct Answer is B

A)   Administering vaginal cream to a client who has a vaginal infection - This task involves administration of medication, which typically falls within the scope of licensed nursing practice.

B)   Providing postmortem care for a client who has just died - When delegating tasks to assistive personnel, nurses can assign activities such as providing postmortem care.
C)   Suctioning a tracheostomy for a client who has a recent head injury - Suctioning a tracheostomy requires specialized training and is typically performed by licensed nursing staff.
D)   Changing a peripheral IV dressing for a client who is postoperative - Changing an IV dressing is a task that require skills of a licensed nurse hence cannot be delegated to an assistive personnel.

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Correct Answer is B

Explanation

A. Soak the hearing aid in warm water Soaking the hearing aid in warm water can damage the device and is not an appropriate solution for a whistling sound.
B. Decrease the volume on the hearing aid- Whistling sounds from a hearing aid often indicate feedback, which can be reduced by lowering the volume.
C. Clean the hearing aid with isopropyl alcohol- Cleaning the hearing aid with isopropyl alcohol may be part of routine maintenance but is not directly related to addressing a whistling sound.
D. Turn the hearing aid off for 5 min- Turning the hearing aid off temporarily may not address the underlying cause of the whistling sound and may disrupt the client's ability to hear when the device is turned back on.

A. Administer a sedative medication to the client. B. Have the client sign an against medical advice form. C. Tell the client that the surgeon will prescribe restraints if they try to leave. D. Explain to the client that they cannot leave until the surgeon discharges them.

Correct Answer is D

Explanation

A. Administer a sedative medication to the client- Administering a sedative medication without proper indication and consent is not appropriate in this situation.
B. Have the client sign an against medical advice form- Having the client sign an against medical advice (AMA) form is premature and should only be considered after thorough discussion of the risks and benefits of leaving against medical advice.
C. Tell the client that the surgeon will prescribe restraints if they try to leave- Threatening the client with restraints is coercive and not conducive to a therapeutic nurse-client relationship. Restraints should only be used as a last resort to ensure safety.
D. Explain to the client that they cannot leave until the surgeon discharges them- The nurse should explain to the client that leaving before being discharged by the surgeon can jeopardize their recovery and may result in complications. It is important to communicate the consequences of leaving prematurely and encourage the client to wait for proper discharge instructions.

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A nurse is delegating client care to an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client who has a hearing aid. Which of the following actions should the nurse take when the client reports hearing a whistling sound from the hearing aid?

Correct Answer is B

Explanation

A nurse is caring for a young adult client who is postoperative and requires physical therapy, pain management, and dietary advancement. The nurse enters the client's room and finds them dressing and stating that they are going home. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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