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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

The nurse should approach the man and ask why he is making copies of the client's medical records. This action allows the nurse to directly address the situation and gather more information before taking further steps.
Option A, may not be the best initial action because it does not directly address the situation.
Option B may be premature without first gathering more information.
Option C, may also not be the best initial action because it does not directly address the situation.

A. Document the issue on an incident report. B. Address the concern with the assigned nurse. C. Explain to the client the AP was having a bad day. D. Notify the human resources department.

Correct Answer is B

Explanation

If a charge nurse in an acute care facility receives a client request not to have particular assistive personnel (AP) care for her, the appropriate action for the charge nurse to take is to address the concern with the assigned nurse. This will allow the charge nurse and the assigned nurse to work together to address the client's concerns and ensure that the client receives appropriate care.
Option A is incorrect because documenting the issue on an incident report may be necessary, but it should not be the first action taken.
Option C is incorrect because explaining to the client that the AP was having a bad day does not address the client's concerns or wishes.
Option D is incorrect because notifying the human resources department may be necessary, but it should not be the first action taken.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse observes an unknown man in a laboratory coat making copies of a client's medical record. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A charge nurse in an acute care facility receives a client's request not to have particular assistive personnel (AP) care for her. Which of the following actions should the charge nurse take?

Correct Answer is B

Explanation

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