The nurse assesses a client with severe pruritus as a complication of cirrhosis. Which intervention should the nurse delegate to the unlicensed assistive personnel?
Using moisturizer on the skin,
Applying corticosteroid cream after the bath.
Turning the heat up in the room.
Bathing the client with hot soapy water.
The Correct Answer is A
Rationale:
A. Applying moisturizer is a non-invasive, routine hygiene measure that falls within the scope of practice of unlicensed assistive personnel (UAP). It helps relieve pruritus by reducing skin dryness and can be safely delegated.
B. This is incorrect because applying prescription medications requires nursing judgment and knowledge of the medication, dose, and timing. This task must be performed by a licensed nurse.
C. This is incorrect because increasing room temperature may actually worsen pruritus, as heat can aggravate itching. Additionally, adjusting environmental controls for therapeutic purposes is part of the nurse’s assessment and planning, not a delegated task.
D. This is incorrect because hot baths can worsen pruritus and damage already sensitive skin. Bathing interventions should be guided by the nurse to ensure safety and appropriate temperature and products are used.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["11.3"]
Explanation
Step 1: Convert weight from pounds to kilograms
Weight (kg) = 165 ÷ 2.2
Weight = 75 kg
Step 2: Calculate the ordered dose in mcg/min
Dose (mcg/min) = 4 mcg/kg/min × 75 kg
Dose = 300 mcg/min
Step 3: Convert mcg/min to mg/hr
300 mcg/min × 60 min/hr = 18,000 mcg/hr
18,000 mcg/hr ÷ 1,000 mcg/mg = 18 mg/hr
Step 4: Determine concentration of IV solution
400 mg in 250 mL
Concentration = 400 ÷ 250 = 1.6 mg/mL
Step 5: Calculate mL/hr
mL/hr = 18 mg/hr ÷ 1.6 mg/mL
mL/hr = 11.25 mL/hr
Step 6: Round to the nearest tenth
11.25 = 11.3 mL/hr
Final Answer: 11.3 mL/hr
Correct Answer is ["13"]
Explanation
Step 1: Convert weight from pounds to kilograms
Weight (kg) = 193 ÷ 2.2
Weight ≈ 87.7 kg
Step 2: Calculate the ordered dose in mcg/min
Dose (mcg/min) = 2.5 mcg/kg/min × 87.7 kg
Dose ≈ 219.25 mcg/min
Step 3: Convert mcg/min to mg/hr
219.25 mcg/min × 60 min/hr = 13,155 mcg/hr
13,155 mcg/hr ÷ 1,000 mcg/mg = 13.155 mg/hr
Step 4: Determine concentration of IV solution
250 mg in 250 mL
Concentration = 1 mg/mL
Step 5: Calculate mL/hr
mL/hr = 13.155 mg/hr ÷ 1 mg/mL
mL/hr ≈ 13.155 mL/hr
Step 6: Round to the nearest whole number
13.155 = 13 mL/hr
Final Answer: 13 mL/hr
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