A nurse is delegating tasks for an assistive personnel (AP) to perform for a client who is 1-day postoperative following cardiac surgery. Which of the following tasks should the nurse perform herself?

Helping the client into the shower

Ambulating the client in the hallway

Measuring vital signs

Removing the sternal dressing

Answer and Explanation

The Correct Answer is D

A. Helping the client into the shower: This task can be safely delegated to an assistive personnel (AP). The AP can help the client with activities of daily living such as showering, as long as the client is stable and does not require close monitoring.

B. Ambulating the client in the hallway: This task can also be delegated to an AP. Assisting with ambulation is within the scope of practice for an AP, provided the client is stable and there are no specific concerns that require a nurse’s assessment.

C. Measuring vital signs: While measuring vital signs is a critical task, it can be delegated to an AP. The AP can be trained to accurately measure and report vital signs. However, the nurse should review and interpret the results.

D. Removing the sternal dressing: This is the correct answer. Removing a sternal dressing after cardiac surgery is a complex task that requires a nurse’s expertise2. The nurse needs to assess the surgical site for signs of infection or complications, which is beyond the scope of practice for an AP. Therefore, this task should not be delegated and should be performed by the nurse herself

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["A","B","C","D","F"]

Explanation

A. Is the research applicable to other populations? This is a crucial question in the critical appraisal of evidence. The applicability or generalizability of research findings to other populations is an important aspect of any study. If the study’s sample is representative and diverse, the findings are more likely to be applicable to other populations.

B. What methods were used to conduct the research? Understanding the methods used in a study is fundamental to evaluating its validity. The research design, data collection methods, and analysis techniques all contribute to the strength of the study’s findings.

C. How were the study results analyzed? The analysis of study results is a key component of research. The statistical methods used can greatly impact the interpretation of the results. Understanding how the results were analyzed can help determine if the conclusions drawn are valid.

D. Does the study have reliability? Reliability refers to the consistency or repeatability of the study’s findings. If a study is reliable, it means that if the study were repeated under the same conditions, it would produce the same results. This is a key factor in determining the quality of a study.

E. What were the costs associated with the research? While understanding the costs associated with research can be important in some contexts, it is not typically a key factor in the critical appraisal of the evidence itself. The focus of critical appraisal is more on the quality, validity, and applicability of the research rather than the costs involved in conducting it.

F. What was the purpose of the study? Understanding the purpose or objective of the study is a fundamental part of critical appraisal. It helps to determine whether the study design, methods, and analysis are appropriate for answering the research question.

A. Headache B. Tachycardia C. Nausea D. Diaphoresis E. Orthopnea

Correct Answer is ["B","C","D"]

Explanation

A. Headache:

Headache is not typically a clinical manifestation of an acute myocardial infarction. The more common symptoms are related to chest pain, autonomic responses, and cardiovascular changes.

B. Tachycardia:

Tachycardia, or an increased heart rate, is a common symptom during an acute MI. This occurs as the body attempts to compensate for decreased cardiac output and perfusion.

C. Nausea:

Nausea is a frequent symptom associated with an acute MI. It results from the activation of the autonomic nervous system during the heart attack.

D. Diaphoresis:

Diaphoresis, or excessive sweating, is a classic symptom of an acute MI. It occurs due to the sympathetic nervous system's response to pain and stress from the heart attack.

E. Orthopnea:

Orthopnea, or difficulty breathing when lying down, is more commonly associated with congestive heart failure rather than an acute MI. While shortness of breath can occur during an MI, orthopnea is not a primary manifestation.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is delegating tasks for an assistive personnel (AP) to perform for a client who is 1-day postoperative following cardiac surgery. Which of the following tasks should the nurse perform herself?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the preparation of an in-service about evidence-based practice (EBP). Which of the following questions should the nurse include when discussing critical appraisal of collected evidence? (Select All that Apply)

Correct Answer is ["A","B","C","D","F"]

Explanation

A nurse is collecting data from a client who has an acute myocardial infarction (MI). Which of the following clinical manifestations should the nurse expect to find? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

A nurse is reviewing the medication history of a client. The nurse should identify that which of the following medications places the client at risk for hypokalemia?

A nurse is working with a social worker and a physical therapist in preparing a discharge projection for a client who is postoperative. Which of the following steps of the nursing process is the nurse engaging in?

A nurse is reviewing the ABG values of a client who has chronic bronchitis and reports dyspnea with minimal exertion. Which of the following acid- base imbalances should the nurse suspect?

A nurse is assisting with a presentation on health promotion activities for clients who have hypertension. Which of the following should the nurse utilize as a resource for this information?

A nurse is collecting data from a client who is at the end of life. Which of the following findings should the nurse expect?

A nurse is collecting data from a client who is at the end of life. Which of the following findings should the nurse expect?

A nurse is contributing to the plan of care for a client who has had HIV for 10 years and is at the end of life. Which of the following interventions should the nurse recommend?