A nurse is planning care for a group of clients. When planning the assignment for an assistive personnel (AP), which of the following activities should the nurse consider unsafe for the AP to perform?
Assisting an older adult client to take acetaminophen the AP crushed in applesauce
Measuring the vital signs of a client who has a history of angina
Obtaining a urine specimen for a urinalysis from a client on admission
Administering a cleansing enema to a client who is preoperative
The Correct Answer is A
A. Administering medications, including crushed acetaminophen, is outside the scope of practice for assistive personnel (AP) and is considered unsafe. Only licensed nurses can administer medications because it requires knowledge of dosage, potential side effects, and contraindications.
B. Measuring vital signs is within the AP’s scope of practice, even for clients with a history of angina, as long as the nurse is available to interpret abnormal findings.
C. Obtaining routine urine specimens for urinalysis is within the AP’s scope and does not require professional judgment beyond standard procedure.
D. Administering a cleansing enema is generally considered within the AP’s scope if it is a routine, non-medicated enema and the client is stable; however, any complications would require nursing intervention.
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Related Questions
Correct Answer is A
Explanation
A. Encouraging the client to take slow, deep breaths addresses not only the physical aspect of pain but also the emotional and psychological components, reflecting a holistic nursing approach that considers the whole person—mind, body, and spirit.
B. Checking the client’s oxygen saturation level is a standard physiological assessment and addresses only the physical aspect of health, not the holistic needs of the client.
C. Obtaining blood work focuses on diagnostic data for physical health and does not incorporate emotional, psychological, or spiritual aspects of care.
D. Requesting a prescription for an analgesic addresses pain management from a biomedical perspective but does not include holistic interventions that support overall well-being.
Correct Answer is D
Explanation
A. Bioenergetic therapies involve the manipulation of energy fields in the body, such as Reiki or therapeutic touch, not nutritional supplements.
B. Manual therapies involve physical manipulation of muscles and joints, such as massage or chiropractic care.
C. Mind-body therapies focus on the interaction between the brain and body to improve health, including meditation, yoga, or hypnosis.
D. Biological therapies include interventions using substances found in nature to promote health, such as nutritional supplements, vitamins, herbs, and probiotics. These therapies support the body’s biological processes and complement conventional treatments.
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