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The charge nurse is making assignments for a 15-bed skilled nursing unit with the staff of one nurse, two practical nurses (PN), and two unlicensed assistive personnel (UAP). Which client should be assigned to the PN?

The client who had bilateral above-knee amputations, now has a sacral decubitus skin flap, and is receiving vancomycin intravenously.

The client who is in end-stage Alzheimer's, who requires feeding, and is waiting for a long-term facility placement.

The client who has pneumonia following a total knee replacement, and is receiving clarithromycin orally.

The client who has right hemiplegia as the result of a cerebral vascular accident and receives continuous gastrostomy feedings per enteral pump.

Answer and Explanation

The Correct Answer is C

The correct answer is c. The client who has pneumonia following a total knee replacement, and is receiving clarithromycin orally.

Choice A reason: This client has a complex wound care and an intravenous antibiotic therapy, which require the skills and knowledge of a registered nurse. Therefore, this client should not be assigned to a PN.

Choice B reason: This client has a chronic condition that does not require frequent assessment or intervention. Therefore, this client can be assigned to a UAP under the supervision of a nurse.

Choice C reason: This client has a stable condition that can be managed with oral medication and routine monitoring. Therefore, this client can be assigned to a PN who can administer oral drugs and report any changes to the nurse.

Choice D reason: This client has a high risk of aspiration and complications due to the enteral feeding and the neurological impairment. Therefore, this client should not be assigned to a PN.

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Correct Answer is D

Explanation

Choice A reason: Listening for the presence of bowel sounds is not a task that the home health aide can perform. This is a nursing assessment that requires specialized skills and equipment.

Choice B reason: Administering a prescribed dose of a laxative is not a task that the home health aide can perform. This is a nursing intervention that requires medication administration knowledge and authority.

Choice C reason: Teaching the client about foods high in fiber is not a task that the home health aide can perform. This is a nursing intervention that requires education and evaluation skills.

Choice D reason: Assisting the client to drink warm prune juice is a task that the home health aide can perform. This is a simple and safe measure that can help relieve constipation by stimulating bowel movements.

A. Offer to switch the nurse's shift assignments to afternoons or evenings. B. Stress the expectation that the nurse will arrive on time for all scheduled shifts. C. Caution the nurse that one more tardiness will result in probational employment. D. Have the nurse sign a copy of the hospital employee attendance policy.

Correct Answer is B

Explanation

Choice A reason: Offering to switch the nurse's shift assignments to afternoons or evenings is not the best approach for the nurse manager to use when addressing this staff member's tardiness. This may not address the underlying cause of the tardiness and may not be fair to other staff members who may prefer those shifts.

Choice B reason: Stressing the expectation that the nurse will arrive on time for all scheduled shifts is the best approach for the nurse manager to use when addressing this staff member's tardiness. This communicates the importance of punctuality and accountability and sets a clear standard for the nurse to follow.

Choice C reason: Cautioning the nurse that one more tardiness will result in probational employment is not the best approach for the nurse manager to use when addressing this staff member's tardiness. This may be too harsh and punitive for the first time the nurse manager addresses the issue and may not allow for any explanation or improvement from the nurse.

Choice D reason: Having the nurse sign a copy of the hospital employee attendance policy is not the best approach for the nurse manager to use when addressing this staff member's tardiness. This may be too passive and bureaucratic and may not convey the seriousness of the issue or the expectations of the nurse manager.

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The charge nurse is making assignments for a 15-bed skilled nursing unit with the staff of one nurse, two practical nurses (PN), and two unlicensed assistive personnel (UAP). Which client should be assigned to the PN?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The home health aide caring for a homebound hospice client calls to inform the nurse that the client has reported feeling constipated. Which task should the nurse instruct the home health aide to perform?

Correct Answer is D

Explanation

A staff nurse has been tardy for morning shift assignments for the past three days and provides no explanation for arriving late. Which approach is best for the nurse manager to use when addressing this staff member's tardiness?

Correct Answer is B

Explanation

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