A patient requires repositioning every 2 hours. Which task can the nurse delegate to the nursing assistive personnel?

Identifying immobility hazards

Determining the level of comfort

Changing the patient's position

Assessing circulation

Answer and Explanation

The Correct Answer is C

A. Identifying immobility hazards requires clinical judgment and assessment skills that are beyond the scope of nursing assistive personnel.
B. Determining the level of comfort is a subjective assessment that should be done by a nurse to ensure accurate interpretation of the patient’s condition.
C. Changing the patient's position can be safely delegated to nursing assistive personnel, as it is a straightforward task that does not require advanced clinical judgment.
D. Assessing circulation involves evaluating the patient's vital signs and other parameters, which should be performed by a nurse to ensure comprehensive care and assessment.

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Correct Answer is B

Explanation

A. A Yankauer suction tip catheter is used for suctioning secretions and does not assess cardiac function or afterload.
B. A blood pressure cuff is essential for measuring blood pressure, which can indicate increased afterload through elevated systemic vascular resistance.
C. An oxygen cannula is used for delivering supplemental oxygen and does not provide information about cardiac afterload.
D. A pulse oximeter measures oxygen saturation, which is not directly related to assessing cardiac afterload.

A. "Atelectasis affects only those with chronic conditions such as emphysema." B. "Hyperventilation will open up my alveoli, preventing atelectasis." C. "It is important to do breathing exercises every hour to prevent atelectasis." D. "If I develop atelectasis, I will need a chest tube to drain excess fluid."

Correct Answer is C

Explanation

A. Atelectasis can occur in anyone, not just those with chronic conditions; this statement is incorrect.
B. While hyperventilation may temporarily open alveoli, it is not a preventative measure for atelectasis.
C. Breathing exercises, such as incentive spirometry or deep breathing, are effective in preventing atelectasis by promoting lung expansion and alveolar ventilation.
D. A chest tube is typically used to remove air or fluid from the pleural space, not for the treatment of atelectasis, which is often managed with respiratory therapies.

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A patient requires repositioning every 2 hours. Which task can the nurse delegate to the nursing assistive personnel?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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