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 ["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.

A. "I will have my vision checked." B. "I will put socks on when I get out of bed." C. "I will put a safety bar near my toilet." D. "I will put a night-light in the hallway."

Correct Answer is B

Explanation

A. Having vision checked is a positive step to prevent falls by addressing potential visual impairments.
B. Wearing socks when getting out of bed increases the risk of slipping, indicating a need for further teaching.
C. Placing a safety bar near the toilet is a preventive measure against falls.
D. Putting a night-light in the hallway helps improve visibility and reduce the risk of tripping

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1690"]

Explanation

A home health nurse is providing teaching to an older adult client who is at risk for falls. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is B

Explanation

A provider prescribes cold application for a client who reports ankle joint stiffness. Which of the following assessment findings should the nurse identify as a contraindication to the application of cold?

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