A nurse on a medical-surgical unit has just received a change-of-shift report for four clients. Which of the following tasks should the nurse assign to an assistive personnel?

Showing a client who has a new colostomy how to empty the pouch.

Reinserting an NG tube for a client who requires gastric decompression

Performing a closed catheter irrigation for a client who is postoperative

Bathing a client who has hemiparesis following a stroke

Answer and Explanation

The Correct Answer is D

A.   Showing a client who has a new colostomy how to empty the pouch. Client education requires the clinical knowledge and teaching skills of a nurse.
B.   Re-inserting an NG tube for a client who requires gastric decompression. NG tube insertion is a skilled task that requires clinical assessment and monitoring by a nurse.
C.   Performing a closed catheter irrigation for a client who is postoperative. Closed catheter irrigation requires sterile technique and clinical judgment, which are nursing responsibilities.
D.   Bathing a client who has hemiparesis following a stroke. APs can assist with bathing and hygiene tasks.

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Correct Answer is A

Explanation

A. Advance directives: Advance directives may contain information about the client's wishes for organ donation, along with other end-of-life preferences.
B. Informed consent: Informed consent is related to specific treatments or procedures and does not address organ donation.
C. Provider's prescription: Providers do not write prescriptions for organ donation; it is a legal decision made by the client.
D. Do-not-resuscitate (DNR) order: A DNR order only indicates that no resuscitation should be attempted in the event of cardiac or respiratory arrest.

A. Alcohol-based antiseptic rub B. Nonantimicrobial soap C. Triclosan D. Chlorhexidine gluconate

Correct Answer is B

Explanation

A. Alcohol-based antiseptic rub: Alcohol-based hand rubs are ineffective against C. difficile spores.
B. Nonantimicrobial soap: Handwashing with soap and water is essential to physically remove C. difficile spores from the skin.
C. Triclosan: Triclosan is an antimicrobial agent used in some handwashes but lacks efficacy against C. difficile spores.
D. Chlorhexidine gluconate: While effective against a broad spectrum of bacteria, it does not reliably kill C. difficile spores.

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A nurse on a medical-surgical unit has just received a change-of-shift report for four clients. Which of the following tasks should the nurse assign to an assistive personnel?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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