A nurse is preparing to delegate bathing and turning of a newly admitted client who has end- stage bone cancer to an experienced assistive personnel (AP). Which of the following assessments should the nurse make before delegating care?

Is the client's family present so the AP can show them how to turn the client?

Has the AP checked the client's pain level prior to turning her?

Does the AP have time to change the client's central IV line dressing after turning her?

Has data been collected about specific client needs related to turning?

Answer and Explanation

The Correct Answer is D

A.   While involving the family might be beneficial for education, it's not directly related to assessing the client's needs for turning.
B.   Assessing the client's pain level is important, but it's only one aspect of comprehensive care when delegating turning to the AP.
C.   Checking the AP's availability for other tasks after turning the client is important but not the primary assessment before delegation.
D.   Before delegating care, the nurse should assess and collect data about the client's specific needs related to turning due to the client's condition. Understanding the client's condition and requirements for turning is crucial for effective delegation.

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Correct Answer is B

Explanation

A. A client at 39 weeks of gestation with a negative contraction stress test is at term and might not require an interdisciplinary care conference if the test results are normal.
B. A client at 35 weeks of gestation with a biophysical profile of 6 might need further evaluation or interventions, making it appropriate to discuss the case in an
interdisciplinary care conference.
C. A client at 37 weeks of gestation with a specific US ratio might require attention, but the significance of the ratio in this context is unclear without additional information.
D. A client at 28 weeks of gestation with a negative Coombs' titer might not require an interdisciplinary care conference solely based on this information.

A. Black B. Yellow C. Red D. Green

Correct Answer is A

Explanation

A. Black tags are typically used for individuals who are deceased or expected to die imminently. The chances of survival for this patient are very minimal since the burn surface area is more than 50% with full thickness burns
B. Yellow tags are used for those who require observation but are not in immediate danger.
C. Red tags are for those with severe injuries who require immediate treatment but have a chance of survival.
D. Green tags are used for individuals with minor injuries or those who require minimal medical assistance.

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A nurse is preparing to delegate bathing and turning of a newly admitted client who has end- stage bone cancer to an experienced assistive personnel (AP). Which of the following assessments should the nurse make before delegating care?

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Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the nurse recommend for an interdisciplinary care conference?

Correct Answer is B

Explanation

A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which of the following triage tag colors should the nurse instruct the group to apply to a client who has full-thickness burns on 72% of his body?

Correct Answer is A

Explanation

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