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

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is ["475 "]

Explanation

To calculate the client's intake for that 4-hr period in ml, we need to convert the liquid amounts from oz to ml using the following formula:

1 ml = oz * 29.5735296

Using this formula, we can convert the milk, orange juice, tea, and water amounts to ml: Milk: 3 oz * 29.5735296 ml/oz = 88.7205888 ml

Orange juice: 2 oz * 29.5735296 ml/oz = 59.1470592 ml

Tea: 3 oz * 29.5735296 ml/oz = 88.7205888 ml

Water: 4 oz * 29.5735296 ml/oz = 118.2941184 ml

The total intake from these liquids is:

88.7205888 + 59.1470592 + 88.7205888 + 118.2941184 = 354.8823552 ml We also need to add the intake from the IV infusion, which is given at a rate of 30 mL/hr for 4 hours:

30 mL/hr * 4 hr = 120 mL

The total intake from the IV infusion is:

120 mL

The total intake for that 4-hr period in ml is:

354.8823552 + 120 = 474.8823552 ml

Rounding the answer to the nearest whole number, we get:

475 ml

A. Complete the bath even if the client is in distress B. Give detailed instructions for the client to follow. C. Allow the client to select the temperature of the bath water D. Use distractions when bathing

Correct Answer is D

Explanation

The rationale for this answer is that using distractions such as music, conversation, or toys can help reduce anxiety and agitation in clients with dementia who may resist bathing. It also helps create a positive and comfortable environment for the client.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["475 "]

Explanation

A nurse is preparing to bathe a client who has dementia. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is preparing to check a client's blood pressure. Which of the following actions should the nurse take?

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