A nurse receives care assignments for a group of clients. Which of the following tasks should the nurse ask the charge nurse to reassign to an RN? (Select all that apply.)

Applying a vacuum-assisted wound closure device on a client's pressure ulcer

Developing a plan of care for a newly admitted client

Preparing a teaching plan for a client who has a new prescription for insulin

Obtaining a client's post-void residual using a bladder scanner

Initiating the administration of a blood transfusion for a client

Answer and Explanation

Correct Answer : A,B,C,E

A.   Applying a vacuum-assisted wound closure device on a client's pressure ulcer: This task requires clinical judgment and advanced training, which are appropriate for an RN.
B.   Developing a plan of care for a newly admitted client: Creating care plans requires comprehensive assessment and clinical decision-making, which are within the RN's scope.
C.   Preparing a teaching plan for a client who has a new prescription for insulin: Teaching requires advanced knowledge to assess learning needs and provide education.
D.   Obtaining a client's post-void residual using a bladder scanner: This task is within the scope of practice for assistive personnel (AP) if trained.
E.   Initiating the administration of a blood transfusion for a client: Blood transfusion initiation requires close monitoring and assessment for adverse reactions, which falls under the RN's scope.

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Correct Answer is A

Explanation

A. "It sounds like you have concerns about the procedure." This therapeutic response acknowledges the client's feelings and encourages further discussion without judgment.
B. "Why have you decided not to have the procedure?" Asking "why" can make the client feel defensive and may hinder communication.
C. "Don't worry. You will adjust to the colostomy quickly." This statement dismisses the client's concerns and does not foster effective communication.
D. "Do you think that's the right decision for you and your family?" This question may pressure the client instead of promoting open dialogue.

A. Decline documenting the first counseling session. B. Communicate expected behavior to the AP. C. Explain to the AP the consequences of the behavior. D. Allow the AP time to respond to the counseling information. E. Conduct the counseling session with another AP present.

Correct Answer is ["B","C","D"]

Explanation

A. Decline documenting the first counseling session: Documentation is necessary to maintain accurate records of counseling sessions.
B. Communicate expected behavior to the AP: Reinforcing the expectations helps clarify appropriate behavior.
C. Explain to the AP the consequences of the behavior: Understanding potential consequences encourages adherence to confidentiality standards.
D. Allow the AP time to respond to the counseling information: Allowing the AP to respond fosters a two-way communication approach and encourages accountability.
E. Conduct the counseling session with another AP present: Counseling sessions should remain private to maintain confidentiality.

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A nurse receives care assignments for a group of clients. Which of the following tasks should the nurse ask the charge nurse to reassign to an RN? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is scheduled for a colostomy. The client tells the nurse to cancel the procedure. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a newly licensed assistive personnel (AP) who has violated a client's confidentiality. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

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