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 B

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. Health insurance information B. Need for special equipment C. Name of facility social worker D. Medication administration record

Correct Answer is B

Explanation

A. Health insurance information: Financial details are not included in a clinical handoff report.
B. Need for special equipment: Information about special equipment (e.g., oxygen or mobility aids) is essential for continuity of care.
C. Name of facility social worker: This is not a critical piece of information for client care during the transfer.
D. Medication administration record: Medication details should be summarized in the report, but the full record is sent separately.

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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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