A nurse is reviewing the provider's prescriptions for a client who has a positive sputum culture for tuberculosis. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?
Collect the client's urine output every 24 hours
Administer the client's scheduled antitubercular medications
Assist the client with speech therapy exercises
Place the client on airborne precautions
The Correct Answer is A
Choice A reason: Collecting the client's urine output every 24 hours is a task that the nurse can delegate to an AP. This task is within the AP's scope of practice and does not require clinical judgment or assessment. The nurse should provide clear instructions and expectations to the AP, and monitor and evaluate the client's fluid status and renal function.
Choice B reason: Administering the client's scheduled antitubercular medications is a task that the nurse cannot delegate to an AP. This task is outside the AP's scope of practice and requires clinical judgment and assessment. The nurse should follow the five rights of medication administration and monitor the client for adverse effects and therapeutic outcomes.
Choice C reason: Assisting the client with speech therapy exercises is a task that the nurse cannot delegate to an AP. This task is outside the AP's scope of practice and requires specialized knowledge and skills. The nurse should collaborate with the speech therapist and follow the prescribed plan of care for the client.
Choice D reason: Placing the client on airborne precautions is a task that the nurse cannot delegate to an AP. This task is outside the AP's scope of practice and requires clinical judgment and assessment. The nurse should implement the infection control measures and educate the client and the AP about the rationale and the procedures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Closing the fire doors and the doors to the room is an appropriate action, but not the first one that the nurse should take. The nurse should first activate the fire alarm to alert the fire department and the facility staff.
Choice B reason: Extinguishing the fire is an appropriate action, but not the first one that the nurse should take. The nurse should first activate the fire alarm to alert the fire department and the facility staff. Then, the nurse should use the fire extinguisher to put out the fire, following the RACE protocol (rescue, alarm, contain, extinguish).
Choice C reason: Removing clients from nearby rooms is an appropriate action, but not the first one that the nurse should take. The nurse should first activate the fire alarm to alert the fire department and the facility staff. Then, the nurse should evacuate the clients who are in immediate danger, following the RACE protocol (rescue, alarm, contain, extinguish).
Choice D reason: Activating the fire alarm is the first and most appropriate action that the nurse should take. The nurse should activate the fire alarm to alert the fire department and the facility staff. Then, the nurse should follow the RACE protocol (rescue, alarm, contain, extinguish) to protect the clients and the facility.
Correct Answer is B
Explanation
Choice A reason: Candidiasis is not a reportable infection. It is a fungal infection that causes vaginal itching and discharge. It is not a sexually transmitted infection, but it can occur after antibiotic use or hormonal changes.
Choice B reason: Gonorrhea is a reportable infection. It is a bacterial infection that causes genital discharge, pain, and bleeding. It can also spread to other parts of the body and cause serious complications. It is a sexually transmitted infection that can be prevented by using condoms and treated with antibiotics.
Choice C reason: Human papillomavirus is not a reportable infection. It is a viral infection that causes genital warts and cervical cancer. It is a sexually transmitted infection that can be prevented by using condoms and getting vaccinated.
Choice D reason: Trichomoniasis is not a reportable infection. It is a parasitic infection that causes vaginal itching, burning, and odor. It is a sexually transmitted infection that can be treated with antiparasitic drugs.
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