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A nurse is planning client care for herself and an assistive personnel (AP) working with her. Which of the following tasks should the nurse plan to perform?

Assisting a client to cough and deep breathe

Application of antiembolic stockings

Administration of an enema

Assessing a client's sacrum for edema

Answer and Explanation

The Correct Answer is D

Rationale:

A. Assisting a client to cough and deep breathe is a task that can be performed by an AP under supervision.

B. Application of antiembolic stockings is within the scope of APs, though it may be monitored by an RN.

C. Administration of an enema typically requires nursing judgment and assessment, making it more appropriate for the RN.

D. Assessing a client’s sacrum for edema requires clinical assessment skills and nursing judgment, which should be performed by an RN.

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Correct Answer is B

Explanation

Rationale:

A. Hospice care focuses on comfort and quality of life, not on curing the illness. Therefore, the oncologist would typically shift focus to palliative care.

B. Managing symptoms such as dyspnea is a primary aspect of hospice care, aimed at improving the quality of life.

C. Hospice care is usually for patients with a prognosis of six months or less, not for those with indefinite life expectancy.

D. Hospice care can be provided in various settings, including the patient’s home, not just long-term care facilities.

A. Insist the client take prescribed medications. B. Inform the client that the medication is the same as taken at home. C. Tell the client that refusal of the medication is considered noncompliance. D. Encourage the client to verbalize questions.

Correct Answer is D

Explanation

Rationale:

A. Insisting the client take medications does not respect the client’s autonomy and is not an advocacy action.

B. Informing the client that the medication is the same as taken at home does not necessarily address the client’s concerns or questions.

C. Telling the client that refusal is noncompliance does not support client autonomy and does not address their concerns.

D. Encouraging the client to verbalize questions supports their right to be informed and make decisions about their care, demonstrating advocacy.

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A nurse is planning client care for herself and an assistive personnel (AP) working with her. Which of the following tasks should the nurse plan to perform?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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