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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
Choice A rationale:
Tophi presentation on the joints is associated with gout, not SLE1.
Choice B rationale:
Heberden’s nodes are associated with osteoarthritis, not SLE1.
Choice C rationale:
A butterfly rash on the face is a common manifestation of SLE1.
Choice D rationale:
Raynaud’s phenomenon can occur in SLE1.
Choice E rationale:
Photosensitive skin is a common symptom of SLE1.
Correct Answer is B
Explanation
Choice A rationale:
Liver and bacon are high in purines, which can exacerbate gout. Therefore, they should be avoided.
Choice B rationale:
Vegetables and bananas are low in purines and are therefore good choices for a patient with gout.
Choice C rationale:
Fruits are generally low in purines, but bacon is high in purines and should be avoided.
Choice D rationale:
Nuts are a good choice as they are low in purines, but fish can be high in purines and should be eaten in moderation.
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