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 C

Explanation

Choice A rationale:
The Sims position is not specifically recommended for easing discomfort after cholecystectomy.
Choice B rationale:
The right lateral position is not specifically recommended for easing discomfort after cholecystectomy.
Choice C rationale:
Deep breathing and coughing can help alleviate discomfort due to CO2 used during surgery by promoting the absorption and excretion of the gas.
Choice D rationale:
Placing the client in the prone position with the head of bed elevated is not specifically recommended for easing discomfort after cholecystectomy.

A. Extreme nausea. B. Pruritus. C. Diarrhea. D. Blurry vision.

Correct Answer is D

Explanation

Choice A rationale:
Extreme nausea is a common side effect of hydroxychloroquine, but it’s not the most concerning.
Choice B rationale:
Pruritus is a possible side effect of hydroxychloroquine, but it’s not the most concerning.
Choice C rationale:
Diarrhea is a common side effect of hydroxychloroquine, but it’s not the most concerning.
Choice D rationale:
Blurry vision is a serious side effect of hydroxychloroquine and can indicate retinal damage.

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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

Naxlex Comprehensive Predictor Exams

After a cholecystectomy, the client might experience discomfort due to CO2 used during surgery. Which intervention will help the client ease the discomfort?.

Correct Answer is C

Explanation

A client with systemic lupus has been ordered hydroxychloroquine. Which of the following adverse effects is of most concern?.

Correct Answer is D

Explanation

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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?