The nurse is aware that a cause of under delegation in client care is:

that nurses usually have the time to do things themselves.

giving too much responsibility to the assistive personnel.

a lack of knowledge of the assistive personnel's competence.

a high degree of trust in delegatees.

Answer and Explanation

The Correct Answer is C

A. Nurses may under delegate due to time constraints, but this is not the primary cause.

B. Under delegation can occur when nurses are hesitant to delegate tasks, but it's not due to giving too much responsibility.

C. Under delegation often happens when nurses are unsure of the competence or skills of the assistive personnel.

D. A high degree of trust in delegatees typically promotes delegation rather than under delegation.

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Correct Answer is B

Explanation

A. Asking if shortness of breath is being experienced can provide subjective information but may not accurately assess the severity of dyspnea.

B. Observing the client at rest and during activity allows the nurse to assess the client's respiratory effort and the impact of dyspnea on functional ability.

C. Auscultating lung sounds is important for assessing respiratory function but may not directly assess the level of dyspnea.

D. Reading previous documentation may provide historical context but does not directly assess the client's current level of dyspnea.

A. usual nutritional intake. B. degree of physical activity. C. skin exposure to moisture. D. food and drug allergies. E. ability to respond to pressure-related discomfort.

Correct Answer is ["A","B","C","E"]

Explanation

A. Assessing usual nutritional intake helps identify potential risk factors for poor wound healing and pressure injury development.

B. Assessing the degree of physical activity helps determine the client's mobility level and risk for pressure injuries.

C. Assessing skin exposure to moisture helps identify potential areas of skin breakdown and pressure injury development.

D. While important, assessing food and drug allergies is not directly related to pressure injury risk reduction.

E. Assessing the client's ability to respond to pressure-related discomfort helps identify clients who may be at increased risk for pressure injuries due to decreased mobility or sensory deficits.

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The nurse is aware that a cause of under delegation in client care is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The best way for the nurse to assess a client's level of dyspnea is to:

Correct Answer is B

Explanation

The staff nurses have just received an inservice presentation about pressure Injury risk reduction in their clients. Which points should have been Included? (SELECT ALL THAT APPLY) Assess client's:

Correct Answer is ["A","B","C","E"]

Explanation

When administering oxygen via a wall-outlet system, the nursing intervention that would be necessary for a 3 L/min flow, as opposed to a 1 L/min flow, would be:

The nursing assessment finding that represents the most serious indication of a client's deteriorating oxygenation status is:

The nurse finds a client on bed rest experiencing clear signs of dyspnea. The nurse should assist the client to a:

The nurse is preparing an injection of 10 units of regular insulin and 5 units of NPH Insulin from two vials. The nurse should:

The nurse notes that a diuretic is listed on the client's medication administration record (MAR). It is most important for the nurse to report to the physician a serum:

The nurse is aware that a cause of under delegation in client care is:

The nurse recognizes that which is not a necessary feature of a team?

Which one of the following blood levels would provide the nurse with the most information about the ability of the client's blood to transport oxygen? The: