A nurse is making shift assignments.
Which client is appropriate for a nursing assistant?
A newly admitted client with a seizure disorder.
A post-op laparotomy client who is waiting for discharge instructions.
A client who needs assistance with feeding.
A dehydrated client with an electrolyte imbalance.
The Correct Answer is C
Choice A rationale
A newly admitted client with a seizure disorder requires close monitoring and assessment, which is beyond the scope of practice for a nursing assistant.
Choice B rationale
A post-op laparotomy client who is waiting for discharge instructions requires specific education and assessment, which is beyond the scope of practice for a nursing assistant.
Choice C rationale
A client who needs assistance with feeding is the correct answer. Assisting with feeding is within the scope of practice for a nursing assistant.
Choice D rationale
A dehydrated client with an electrolyte imbalance requires close monitoring and assessment, which is beyond the scope of practice for a nursing assistant.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Documenting the application of the medication is important for maintaining accurate medical records, but it is not the priority action when a patient is receiving a new medication.
Choice B rationale
Informing the patient about potential side effects is the correct answer. This action ensures that the patient is aware of what to expect and can report any adverse reactions promptly, which is crucial for their safety.
Choice C rationale
Checking the patient’s vital signs frequently is important, but it is not the priority action when a patient is receiving a new medication. The priority is to inform the patient about potential side effects.
Choice D rationale
Leaving the patient alone to rest is not appropriate when a patient is receiving a new medication. The nurse should monitor the patient and inform them about potential side effects.
Correct Answer is D
Explanation
Choice A rationale
Sharing the story without mentioning the patient’s name can still be a violation of patient privacy and HIPAA regulations.
Choice B rationale
Asking the patient’s family members for permission is not sufficient. The patient must provide consent.
Choice C rationale
Verifying if the patient has a public relations officer is not relevant. The patient’s consent is required.
Choice D rationale
Obtaining written consent from the patient is necessary to ensure compliance with HIPAA regulations and to protect patient privacy.
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