Exhibits
The charge nurse is planning to delegate client care tasks. For each task identify the team member to which the nurse should delegate the task. Each task may be appropriate for more than 1 team member.
Client 4: Perform prescribed testing.
Client 3: Administer prescribed medication.
Client 1: Perform prescribed procedure.
Client 4: Provide prescribed wound care
Client 2: Transport client for diagnostic testing.
Client 3: Collect and label specimen.
The Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A,B"},"F":{"answers":"A,B"}}
Assistive Personnel
Client 4: Perform prescribed testing: APs are trained to perform point-of-care testing such as blood glucose checks using a glucometer under RN supervision. This is a routine task requiring minimal clinical judgment.
Client 2: Transport client for diagnostic testing: Transporting a stable client is within the AP's role. Since the client is conscious and has no immediate instability, this task is appropriate for AP.
Client 3: Collect and label specimen: APs may collect non-sterile specimens like clean-catch urine and label them properly, especially in facilities where they are trained and authorized to do so. RN/PN ensures proper documentation.
Practical Nurse
Client 4: Perform prescribed testing: PNs can perform and interpret glucometer readings, and make clinical decisions such as reporting abnormal values to the RN.
Client 3: Administer prescribed medication: PNs are licensed to administer medications, including PO meds like acetaminophen, and monitor the client's response.
Client 1: Perform prescribed procedure: Insertion of an NG tube is a sterile, invasive procedure requiring knowledge of anatomy and technique. PNs are trained to safely perform this under provider/RN direction.
Client 4: Provide prescribed wound care: PNs are trained in wound care, including sterile dressing changes. This task requires assessment skills and sterile technique, which are within their scope.
Client 2: Transport client for diagnostic testing: PNs can also perform this task, especially if the client has more complex needs during transport (e.g., pain management, IV line monitoring).
Client 3: Collect and label specimen: While APs can perform this, PNs are also qualified to do so—especially if the collection is more complex or if the client requires additional assessment (e.g., confusion).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Decreased blood pressure and a rapid pulse are signs of hemodynamic instability, but they do not specifically indicate the need for phenytoin.
B. Pain and tingling at the access site are not related to seizures.
C. Headache and restlessness can be early signs of seizures or seizure activity, and phenytoin is indicated for seizure prevention and treatment.
D. Muscle cramps and chest heaviness are common symptoms of dialysis but are not indications for phenytoin.
Correct Answer is B
Explanation
A: Creatinine typically increases as kidney function declines, not decreases.
B: As CKD progresses, urine albumin levels tend to increase due to kidney damage and leakage of proteins into the urine.
C: GFR decreases in CKD because the kidneys' filtration ability declines.
D: Proteinuria, or the presence of protein in the urine, generally increases as kidney disease progresses, indicating further damage.
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