The charge nurse is providing instructions to an unlicensed assistive personnel (UAP) who will be assisting with the care of a client who has a hiatal hernia. Which instruction should the charge nurse provide the UAP?
Determine which foods aggravate the client's symptoms.
Elevate the head of the bed before the client begins to eat.
Teach the client about the need to eat small, frequent meals.
Assess the client for heartburn or a feeling of fullness after eating.
The Correct Answer is B
Choice A rationale: Determining which foods aggravate the client's symptoms is beyond the scope of the UAP and should be addressed by licensed healthcare providers. Choice B rationale: Elevating the head of the bed before the client begins to eat helps prevent reflux in clients with hiatal hernia, and it's a task that can be delegated to the UAP.
Choice C rationale: Teaching the client about the need to eat small, frequent meals is a nursing responsibility and should be performed by a licensed nurse.
Choice D rationale: Assessing the client for heartburn or a feeling of fullness after eating is a nursing responsibility and requires a licensed nurse's judgment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Asking the PN to change the sterile dressing while the nurse is busy may compromise patient safety and is not a prudent approach.
Choice B rationale: Reviewing the PN's skill checklist is important, but it may not provide immediate confirmation of the PN's competency in performing sterile wound care.
Choice C rationale: Telling the PN that past experience does not indicate the ability to perform skills may be discouraging and may not directly address the immediate need for a sterile dressing change.
Choice D rationale: Watching the PN perform sterile wound care to validate her skill level is the most direct and immediate way to ensure competency and patient safety.
Correct Answer is A
Explanation
Choice A rationale: Assigning the orientee to work with an experienced nurse who is a long-time, efficient employee can help the orientee improve her skills and confidence.
Choice B rationale: Waiting until the end of the second week may lead to further issues and does not actively address the current challenges the orientee is facing.
Choice C rationale: Informing the supervisor without directly addressing the nurse may not be the most supportive or proactive approach.
Choice D rationale: Talking to the orientee about working in a less stressful environment may not be the most proactive step at this point. Providing support and guidance within the current work environment is a more immediate solution.
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