The nurse is caring for a client who is post-op day 1 from a laparoscopic cholecystectomy.

Which task should the nurse delegate to the unlicensed assistive personnel?

Reassess the incision site for bleeding.

Increase the client's IV fluids.

Administer p.o. pain medication.

Assist the client to the bathroom.

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Reassess the incision site for bleeding. This task requires clinical judgment and should be performed by the nurse.
Choice B rationale:
Increase the client’s IV fluids. This task involves medication administration and should be performed by the nurse.
Choice C rationale:
Administer p.o. pain medication. This task involves medication administration and should be performed by the nurse.
Choice D rationale:
Assist the client to the bathroom. This is a task that can be safely delegated to unlicensed assistive personnel.

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Correct Answer is B

Explanation

Choice A rationale:
This patient is unstable (low BP) and should be assigned to a more experienced nurse.
Choice B rationale:
This patient is stable and requires teaching, which is appropriate for a new graduate.
Choice C rationale:
This patient is unstable (confused, DKA) and should be assigned to a more experienced nurse.
Choice D rationale:
This patient is unstable (chest pain) and should be assigned to a more experienced nurse.

A. Swan neck deformity and enlarged joints. B. Heberden and Bouchard nodes. C. Boutonniere and joint swelling. D. Pain at rest and crepitus.

Correct Answer is B

Explanation

Choice A rationale:
Swan neck deformity is more commonly associated with rheumatoid arthritis, not osteoarthritis.
Choice B rationale:
Heberden and Bouchard nodes, which are hard, bony enlargements, are common clinical manifestations of osteoarthritis.
Choice C rationale:
Boutonniere deformity is also more commonly associated with rheumatoid arthritis. Joint swelling can occur in osteoarthritis, but it’s not as common as other symptoms.
Choice D rationale:
Pain at rest and crepitus (a grating or crackling sound or sensation) can occur in osteoarthritis.

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The nurse is caring for a client who is post-op day 1 from a laparoscopic cholecystectomy. Which task should the nurse delegate to the unlicensed assistive personnel?

Nursing Test Bank

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The nurse is caring for a client who is post-op day 1 from a laparoscopic cholecystectomy. Which task should the nurse delegate to the unlicensed assistive personnel?

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The nurse is caring for a client who is post-op day 1 from a laparoscopic cholecystectomy.

Which task should the nurse delegate to the unlicensed assistive personnel?