A nurse is planning to delegate client care to an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?
Reinserting an NG tube that was pulled out by a client
Recording output for a client who has multiple drains and tubes
Teaching a family member how to change a simple dressing at home
Suctioning a client's tracheostomy that has been in place for 3 days
The Correct Answer is B
Recording output for a client who has multiple drains and tubes is a task that can be delegated to an AP, as it does not require nursing judgment or assessment skills. Reinserting an NG tube, teaching a family member how to change a dressing, and suctioning a tracheostomy are tasks that require nursing judgment, assessment skills, and specialized knowledge, and therefore cannot be delegated to an AP.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is A
Explanation
When caring for a client who has restraints, the nurse should follow the ABCDE priority-setting framework and assess airway, breathing, circulation, disability, and exposure first. Peripheral pulses are an indicator of circulation and should be assessed first to ensure adequate blood flow to the extremities. Comfort level, skin integrity, and elimination needs are also important assessments but are not as high priority as circulation.

Correct Answer is B
Explanation
The nurse should recognize that saying “I miss him so much already” is an indication of anticipatory grief, which is the emotional response to an expected loss that occurs before the actual loss occurs. Anticipatory grief can help prepare the person for coping with the loss, but it can also cause emotional distress and affect daily functioning.
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