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 C
Explanation
Choice A rationale
Asking the client to demonstrate emptying of the colostomy bag is an action that would be part of the implementation or evaluation phase, not the planning phase.
Choice B rationale
Describing which supplies would be needed is also part of the implementation phase. The planning phase focuses on assessing the client’s needs and readiness to learn.
Choice C rationale
Determining the client’s readiness to learn is a crucial step in the planning phase. It ensures that the client is prepared and willing to engage in the learning process, which is essential for effective education.
Choice D rationale
Identifying the client’s learning needs is part of the assessment phase, which precedes the planning phase. The planning phase involves using the information gathered during the assessment to develop a teaching plan.
Correct Answer is C
Explanation
Choice A rationale
Assault refers to the threat of harm or unwanted physical contact, not the actual administration of medication. In this case, the nurse’s action resulted in actual harm, which is more aligned with negligence.
Choice B rationale
Battery involves intentional physical contact without consent, such as forcibly administering medication. However, this scenario involves an error rather than intentional harm, making negligence a more appropriate term.
Choice C rationale
Negligence occurs when a healthcare provider fails to meet the standard of care, resulting in harm to the patient. Administering the wrong medication is a clear example of negligence, as it demonstrates a failure to follow proper procedures and protocols.
Choice D rationale
Invasion of privacy involves the unauthorized disclosure of personal information, which is not relevant to the scenario of administering the wrong medication.
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