A nurse is training a newly licensed nurse. The newly licensed nurse asks if she can delegate the task of weighing several clients to an assistive personnel (AP). Which of the following responses should the nurse make?

"You can delegate this task if the AP has been trained to use our scales."

"You can delegate this task to an AP for new clients before performing a nursing assessment."

"You should not delegate this task because you have the capability to obtain clients' weights."

"You should not delegate this task because it requires nursing judgment."

Answer and Explanation

The Correct Answer is A

A. "You can delegate this task if the AP has been trained to use our scales.": Measuring and recording client weight is a noninvasive, routine task that does not require nursing judgment, making it appropriate to delegate to trained assistive personnel. The nurse remains responsible for ensuring accuracy and proper documentation.

B. "You can delegate this task to an AP for new clients before performing a nursing assessment.": Delegating weight measurement before a nursing assessment may result in incomplete or inaccurate data interpretation. Initial assessments require nursing judgment to identify baseline health status.

C. "You should not delegate this task because you have the capability to obtain clients' weights.": Possessing the ability to perform a task does not preclude delegation. The key consideration is whether the task requires professional judgment, which measuring weight does not.

D. "You should not delegate this task because it requires nursing judgment.": Obtaining a client’s weight is a standard, objective measurement and does not require clinical decision-making, so it does not meet the criteria for tasks that must be performed exclusively by a nurse.

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Correct Answer is D

Explanation

A. Wrap the newborn loosely in a blanket: Infants with neonatal abstinence syndrome (NAS) benefit from being swaddled snugly, not loosely. Tight swaddling helps reduce hyperactivity, self-stimulating movements, and agitation associated with withdrawal.

B. Encourage frequent eye contact with the newborn during feedings: Excessive eye contact can overstimulate an infant with NAS, increasing irritability and stress. Minimizing visual stimulation during feedings helps promote calm and successful feeding.

C. Provide frequent stimulation for the newborn: Newborns with NAS are highly sensitive to environmental stimuli. Providing frequent stimulation can exacerbate symptoms such as tremors, irritability, and high-pitched crying.

D. Decrease the lighting levels in the nursery: Reducing environmental stimuli, including dimming lights and minimizing noise, helps calm infants experiencing NAS. A low-stimulation environment is a key nonpharmacologic intervention to reduce withdrawal symptoms and support neurodevelopment.

A. "Avoid consuming dairy products." B. "Eat something every 3 hours while awake." C. "Avoid drinking carbonated beverages." D. "Eat a high-protein snack at bedtime." E. "Drink liquids between, rather than with, meals."

Correct Answer is ["B","D","E"]

Explanation

A. "Avoid consuming dairy products.": Dairy products are not contraindicated in hyperemesis gravidarum unless the client experiences intolerance or triggers nausea. Eliminating dairy entirely is unnecessary and may reduce nutritional intake.

B. "Eat something every 3 hours while awake.": Frequent, small meals help prevent an empty stomach, which can worsen nausea and vomiting in hyperemesis gravidarum. This strategy promotes more consistent nutrient intake and reduces episodes of vomiting.

C. "Avoid drinking carbonated beverages.": Carbonated beverages are not universally contraindicated and may sometimes help settle nausea for some clients. Blanket avoidance is not required unless the client identifies carbonation as a personal trigger.

D. "Eat a high-protein snack at bedtime.": Consuming protein before bed can help maintain blood glucose levels overnight and reduce nausea upon waking, which is especially beneficial in managing hyperemesis gravidarum.

E. "Drink liquids between, rather than with, meals.": Drinking fluids between meals prevents the stomach from becoming too full during eating, which can exacerbate nausea and vomiting. This approach helps improve hydration without worsening gastrointestinal discomfort.

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A nurse is training a newly licensed nurse. The newly licensed nurse asks if she can delegate the task of weighing several clients to an assistive personnel (AP). Which of the following responses should the nurse make?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn who is experiencing neonatal abstinence syndrome. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

The nurse has reviewed the Nurses' Notes from 5 days ago. The nurse is providing discharge teaching to the client. Select the 3 statements the nurse should make.

Correct Answer is ["B","D","E"]

Explanation

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