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 B
Explanation
Choice A rationale: Recording the amount of daily wound drainage is important, but addressing the hemodynamic instability takes precedence in this situation. Choice B rationale: Replacing fluids intravenously based on intake and output is crucial to address the client's hypotension and potential dehydration.
Choice C rationale: Assessing skin condition and turgor for breakdown is important but may not address the immediate hemodynamic instability.
Choice D rationale: Turning every 2 hours around the clock from side-to-side is a general nursing intervention but does not directly address the client's hemodynamic instability.
Correct Answer is B
Explanation
Choice A rationale: Scheduling educational leave for all staff may be challenging and could disrupt the unit's operations.
Choice B rationale: Asking two staff members to attend and report what they learned to the unit's staff is a practical approach to disseminating the information without disrupting the entire staff.
Choice C rationale: Offering the program at three different times may still be challenging for staff with varying schedules, and it may not be the most efficient way to share the information.
Choice D rationale: Encouraging the education department to schedule the program at a convenient time is reasonable, but it may not guarantee that all staff can attend, and it may delay the dissemination of important information.
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