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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: Ensuring transfer of the client's electronic chart code is a necessary action, but it is not the most important. The nurse should make sure that the client's records are updated and accessible to the palliative care team, but this can be done after the client is settled in the new room.

Choice B reason: Giving a detailed report to the accepting nurse is the most important action, as it ensures continuity and quality of care for the client. The nurse should provide information about the client's diagnosis, prognosis, preferences, goals, medications, interventions, and family situation.

Choice C reason: Giving client written information about end-of-life care is a helpful action, but it is not the most important. The nurse should provide the client with educational materials and resources about palliative care, hospice care, advance directives, and bereavement support, but this can be done later or by the palliative care team.

Choice D reason: Taking the family to the client's new room is a supportive action, but it is not the most important. The nurse should assist the family with the transition and offer emotional support, but this can be done after the report is given to the accepting nurse.

A. A practical nurse is assigned to transport a postoperative client to the rehabilitation unit. B. A practical nurse (PN) is assigned to monitor the blood pressure of a client with hypertension. C. An unlicensed assistive personnel (UAP) is assigned to check a client for fecal impaction. D. A graduate nurse is assigned to obtain a unit of packed red blood cells from the blood bank.

Correct Answer is C

Explanation

Choice A reason: A practical nurse is qualified to transport a postoperative client to the rehabilitation unit, as long as they have the necessary equipment and report any changes in the client's condition to the primary nurse.

Choice B reason: A practical nurse (PN) is competent to monitor the blood pressure of a client with hypertension, as long as they follow the prescribed treatment plan and report any abnormal findings to the primary nurse.

Choice C reason: An unlicensed assistive personnel (UAP) is not authorized to check a client for fecal impaction, as this is a nursing assessment that requires specialized knowledge and skills. The charge nurse should intervene and assign this task to a registered nurse or a practical nurse.

Choice D reason: A graduate nurse is capable of obtaining a unit of packed red blood cells from the blood bank, as long as they have the proper identification and documentation. They should also be supervised by an experienced nurse when administering the blood transfusion.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

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