After receiving change of shift report, the nurse delegates hygiene care for the caseload of patients. Which patient should the nurse delegate to the nursing assistive personnel (NAP)?
42 year old who is due to arrive from the emergency room and has experienced a stroke
43 year old female who is post operative surgery and is bleeding from their wound
82 year old who was admitted several hours ago with pneumonia, is receiving oxygen and needs a complete bath
21 year old who had minor hand surgery 24 hours ago needs an assistance to bathe
The Correct Answer is D
A. This patient is newly admitted and potentially unstable, requiring nursing assessment before delegation.
B. Active bleeding indicates a complication requiring nursing intervention, making this patient inappropriate for delegation.
C. A patient with pneumonia on oxygen requires close monitoring of their respiratory status, which falls under nursing responsibilities.
D. This patient is stable and only needs assistance, making them appropriate for NAP delegation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
A. Independent nursing interventions do not require a provider’s order. Nurses can assist with ADLs independently.
B. IV fluids require a provider’s order.
C. Collaboration is not an independent intervention.
D. Independent nursing interventions do not require a provider’s order. Nurses can assist with ADLs and assess pain independently.
E. Administering prescribed medication requires an order.
Correct Answer is A
Explanation
A. Maslow’s hierarchy prioritizes physiological needs first, including nutrition, hydration, and oxygenation. This is the most immediate concern.
B. While mental health is important, psychosocial needs are a lower priority than basic physiological needs like nutrition.
C. Fall prevention is essential, but it is a potential problem rather than an existing physiological issue, making it a lower priority than inadequate nutrition.
D. Mobility is important, but ensuring adequate nutrition is more critical to prevent further complications such as muscle wasting and delayed wound healing.
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