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 A
Explanation
Choice A reason: A durable power of attorney for health care is a type of advance directive that allows the client to designate a person who can make health care decisions for them if they become incapacitated. This is a valid statement by the client that shows an understanding of the teaching.
Choice B reason: A living will is another type of advance directive that specifies the client's wishes regarding life-sustaining treatments. A family member does not need to co-sign the living will for it to be valid. This is an incorrect statement by the client that shows a misunderstanding of the teaching.
Choice C reason: The doctor does not need to provide approval for the decisions outlined in the living will. The living will is a legal document that expresses the client's preferences and values. The doctor should respect and follow the living will as much as possible. This is an incorrect statement by the client that shows a misunderstanding of the teaching.
Choice D reason: The client should not wait until they have a serious health problem to sign their advance directives. The client should sign their advance directives when they are mentally competent and able to communicate their wishes. This is an incorrect statement by the client that shows a misunderstanding of the teaching.
Correct Answer is ["A","B","D"]
Explanation
Choice A reason: Documenting a client's refusal to take a prescribed medication is an example of client advocacy because it respects the client's right to make informed decisions about their health care. The nurse should also explain the risks and benefits of the medication and offer alternatives if possible.
Choice B reason: Providing written information to a client regarding palliative care is an example of client advocacy because it educates the client about their options and supports their quality of life. The nurse should also discuss the information with the client and answer any questions they may have.
Choice C reason: Implementing a client's plan of care based on nursing goals is not an example of client advocacy because it does not reflect the client's preferences and values. The nurse should collaborate with the client and the health care team to develop a plan of care that meets the client's needs and goals.
Choice D reason: Obtaining an interpreter for a client who speaks a different language than the nurse is an example of client advocacy because it facilitates effective communication and understanding between the nurse and the client. The nurse should use a professional interpreter or a translation device if available and avoid using family members or friends as interpreters.
Choice E reason: Initiating IV access on a client who has dementia while he is sleeping is not an example of client advocacy because it violates the client's autonomy and consent. The nurse should obtain informed consent from the client or their legal representative before performing any invasive procedure and explain the purpose and risks of the procedure.
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