At time of death, which of the following tasks cannot be delegated to the assistive personnel (AP)?

Changing the bedding and client's gown.

Asking the family about organ and tissue donation.

Helping to wash and prepare the body.

Performing oral care on a client's dentures.

Answer and Explanation

The Correct Answer is A

A. Changing the bedding and client's gown: Routine hygiene and linen changes are typical tasks that can be delegated to assistive personnel (AP) with appropriate guidance.

B. Asking the family about organ and tissue donation: Discussions about organ/tissue donation require specific clinical, legal, and consent knowledge and are responsibilities of the licensed nurse or physician; this conversation should not be delegated to AP.

C. Helping to wash and prepare the body: Assisting with post-death care and preparing the body for family viewing can be delegated to AP with clear instruction and supervision.

D. Performing oral care on a client's dentures: Providing basic oral care, including cleaning dentures, is within the scope of AP duties when delegated.

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Correct Answer is B

Explanation

A. "I will go down the stairs with my bad leg first.": Teaching commonly uses the phrase “down with the bad” -the crutches and the weaker (bad) leg move down first, then the stronger leg follows, to provide the safest sequence.

B. "I will adjust my crutches so that they are resting directly in my armpit.": Crutches should not rest in the axilla; placing weight on the armpit risks axillary nerve and vascular injury. Weight should be supported by the hands on the handgrips, with the crutch tops positioned a couple of finger-breadths below the axilla.

C. "I will adjust my crutches 3 finger breadths below my armpits.": Proper crutch height is about 2–3 fingerbreadths (approximately 2–3 inches) below the axilla when standing, which prevents axillary pressure and allows weight-bearing through the hands.

D. "I will go up the stairs with my good leg first.": Teaching uses “up with the good” -the stronger (good) leg goes up first, then the crutches and the weaker leg follow, which helps maintain stability going up.

A. Teach the client to reposition while in bed every 2 hours. B. Insert an indwelling urinary catheter. C. Encourage the client to consume a diet rich in protein prior to being NPO for surgery. D. Administer an anti-diarrheal. E. Teach the client to use an incentive spirometer as often as they are able every hour.

Correct Answer is ["A","C","E"]

Explanation

A. Teach the client to reposition while in bed every 2 hours: Regular repositioning relieves pressure on bony prominences and reduces the risk of pressure injuries.

B. Insert an indwelling urinary catheter: Routine use of an indwelling catheter increases risk of urinary tract infection and should be avoided unless there is a clear clinical indication; it is not a first-line preventive measure for immobility complications.

C. Encourage the client to consume a diet rich in protein prior to being NPO for surgery: Adequate protein and nutrition support tissue integrity and wound healing; encouraging nutrient intake while allowed supports recovery and helps prevent malnutrition-related complications.

D. Administer an anti-diarrheal: Anti-diarrheals are not a standard preventive intervention for immobility complications and would not be routinely indicated unless the client has problematic diarrhea.

E. Teach the client to use an incentive spirometer as often as they are able every hour: Incentive spirometry promotes deep breathing, improves lung expansion, and helps prevent atelectasis and pulmonary complications associated with immobility.

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At time of death, which of the following tasks cannot be delegated to the assistive personnel (AP)?

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Naxlex Comprehensive Predictor Exams

The nurse is teaching the use of crutches. The nurse knows that the client requires further teaching when making the following statement?

Correct Answer is B

Explanation

Correct Answer is ["A","C","E"]

Explanation

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