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. Current medications: This is essential to ensure continuity of care and accurate medication administration at home.
B. Vital signs flow sheet: While helpful for inpatient monitoring, this is not typically critical for home health care.
C. Nurses' notes: These are primarily for internal documentation and are not always relevant for home health care providers.
D. Nursing admission assessment: The initial assessment is generally less relevant than current and ongoing care information.

A. AU B. ADL C. HS D. SQ

Correct Answer is B

Explanation

A. AU (both ears): This abbreviation is not recommended because it can be misinterpreted as referring to the eyes (OU) or ears (AU). The Joint Commission discourages using abbreviations that can lead to errors.
B. ADL (activities of daily living): This is a widely accepted and standardized abbreviation in healthcare documentation. It is not prone to misinterpretation.
C. HS (hour of sleep): HS can be misinterpreted as "half-strength." Therefore, it is not recommended for use in documentation according to best practice guidelines.
D. SQ (subcutaneous): SQ can be misread as "SL" (sublingual) or mistaken for "5 every." The recommended abbreviation is "subcut" or "subcutaneous."

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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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