A nurse should assign which of the following tasks to an assistive personnel?

Giving oral care to a client who cannot take oral fluids

Checking intravenous insertion sites for signs of infiltration

Assessing a client's ability to ambulate

Demonstrating to a client with diabetes mellitus how to use the glucometer

Answer and Explanation

The Correct Answer is A

A.   Giving oral care to a client who cannot take oral fluids is a task that can be safely delegated to an assistive personnel.
B.   Checking intravenous insertion sites for signs of infiltration requires nursing judgment and assessment skills and should be performed by a licensed nurse.
C.   Assessing a client's ability to ambulate involves clinical judgment and should be performed by a licensed nurse.
D.   Demonstrating how to use a glucometer to a client with diabetes requires nursing knowledge and education skills and should be performed by a licensed nurse.

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Correct Answer is C

Explanation

A. Providing the AP with a copy of the unit's policy may be done but is not the first step. Direct communication is important for immediate feedback.
B. Notifying the charge nurse is appropriate but may not be the first action when direct communication with the AP can address the issue.
C. Talking with the AP about the technique used is the first and immediate action to address the observed lapse in infection control practices.
D. Conducting an in-service on standard precautions is a broader intervention and may be considered after addressing the immediate concern with the AP.

Correct Answer is ["1690"]

Explanation

To calculate the 8-hr fluid intake, convert all the measurements to milliliters (mL).

1 oz = 30 mL, so 6 oz of tea = 180 mL, 4 oz of apple juice = 120 mL, 8 oz of water = 240 mL, 3 oz of flavored gelatin = 90 mL, and 6 oz of broth = 180 mL.

Add up all the fluid intake from IV fluids and clear liquids: 880 + 180 + 120 + 240 + 90 + 180 = 1690 mL.

Round the answer to the nearest whole number: 1690 mL.

The nurse should document 1690 mL as the client's 8-hr fluid intake.

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A nurse should assign which of the following tasks to an assistive personnel?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse observes an assistive personnel (AP) empty an indwelling urinary catheter drainage bag while not wearing gloves. Which of the following interventions should the nurse take first?

Correct Answer is C

Explanation

Correct Answer is ["1690"]

Explanation

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