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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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Poor skin turgor may indicate dehydration but is not directly related to oxygenation status.

B. Cyanosis, a bluish discoloration of the skin or mucous membranes, is a serious indication of decreased oxygenation.

C. Clubbing of the nails may be a sign of chronic hypoxia but is not as immediate an indication of deteriorating oxygenation as cyanosis.

D. Pursed-lip breathing is a compensatory mechanism often seen in clients with chronic obstructive pulmonary disease (COPD) but does not directly indicate deteriorating oxygenation as cyanosis does.

A. Anorexia B. Flushing/warmth of the skin C. Neuromuscular irritability D. Paresthesia

Correct Answer is C

Explanation

A. Anorexia is not typically associated with low serum magnesium levels.

B. Flushing/warmth of the skin is not typically associated with low serum magnesium levels.

C. Neuromuscular irritability, including muscle twitching, tremors, and spasms, is a common sign of hypomagnesemia (low serum magnesium levels).

D. Paresthesia (tingling or numbness) is more commonly associated with hypocalcemia rather than hypomagnesemia.

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

Correct Answer is B

Explanation

A client has a serum magnesium level of 0.9 mEq/L. The nurse would monitor this client for which sign or symptom?

Correct Answer is C

Explanation

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