A nurse on a pediatric unit is working with an assistive personnel (AP). Which of the following tasks should the nurse have the AP perform first?
Feed a school-age client who has burns on both upper extremities.
Collect a stool sample for ova and parasites from a toddler.
Bathe an adolescent client who is disabled.
Ambulate a preschooler who is postoperative to the playroom.
The Correct Answer is A
The nurse should have the AP perform the task of feeding a school-age client who has burns on both upper extremities first. This task is a high priority because it addresses the client's immediate need for nutrition and hydration. The client's burns may make it difficult for them to feed themselves, so the assistance of the AP is necessary to ensure that the client receives adequate nourishment.
The other tasks are also important, but they are not the highest priority in this situation. Collecting a stool sample for ova and parasites from a toddler [b] and bathing an adolescent client who is disabled [c] are routine tasks that can be performed as time permits. Ambulating a preschooler who is postoperative to the playroom [d] is also important for promoting mobility and recovery, but it is not as urgent as addressing the immediate need for nutrition and hydration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The principle associated with the responsibility of nurses for their actions and the actions of the staff to whom they delegate work, including accurate documentation, is accountability. This means that nurses are responsible for ensuring that the care provided by themselves and their staff meets the appropriate standards and that all documentation is accurate and complete.
Option B is incorrect because conflict resolution is a process for resolving disagreements or disputes.
Option C is incorrect because coordination of care refers to the process of organizing and managing a patient's healthcare needs.
Option D is incorrect because authoritativeness refers to the ability to make decisions and provide direction.
Correct Answer is D
Explanation
Of the four clients described, the nurse should attend to the client who has diabetes and had a 0600 blood glucose level of 60 mg/dL first. This client's blood glucose level is low and requires immediate intervention to prevent further complications.
Option A may require attention, but the client's condition is stable and they are receiving treatment.
Option B may also require attention, but an oxygen saturation of 90% is within an acceptable range for a client with COPD.
Option C may also require attention, but the client's restlessness during the night does not indicate an immediate need for intervention.
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