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?
Listen for the presence of bowel sounds.
Administer a prescribed dose of a laxative.
Teach the client about foods high in fiber.
Assist the client to drink warm prune juice.
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This client requires the PN's intervention, as she may have a psychological or physiological problem that affects her appetite and nutrition. The PN should assess the client's preferences, needs, and barriers, and provide appropriate interventions such as offering alternatives, supplements, or snacks, or consulting a dietitian or a social worker.
Choice B reason: This client can be assigned to the UAP, as long as they have been trained and supervised by the PN. The UAP should assist the client with feeding using the adaptive equipment, and encourage the client's independence and self-esteem.
Choice C reason: This client can be assigned to the UAP, as long as they have been trained and supervised by the PN. The UAP should assist the client with feeding in a slow and gentle manner, and monitor the client's swallowing and choking risk.
Choice D reason: This client can be assigned to the UAP, as long as they have been trained and supervised by the PN. The UAP should assist the client with feeding using soft and moist foods, and check the client's dentures for fit and cleanliness.
Correct Answer is D
Explanation
Choice A reason: Assuming care of the client and assigning the PN to the care of a different client is not the best action the nurse should take. This may undermine the PN's confidence and competence and create resentment and conflict.
Choice B reason: Acknowledging that the PN has positioned the client safely and correctly is not the best action the nurse should take. This may reinforce the incorrect positioning and lead to complications during the lumbar puncture.
Choice C reason: Arranging for an unlicensed assistive personnel to assist the PN during the procedure is not the best action the nurse should take. This may not address the root cause of the incorrect positioning and may not improve the PN's skills and knowledge.
Choice D reason: Demonstrating to the PN how to position the client more effectively for the procedure is the best action the nurse should take. This will correct the error and provide the PN with feedback and guidance on how to perform the task correctly in the future.
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