The nurse is having an exceptionally busy shift on an obstetrical unit.
Which of the following tasks is the nurse justified in delegating to an unlicensed care provider?

Emptying a client's Foley catheter bag and reporting the volume to the nurse.

Helping a first-time mother achieve a good latch when breastfeeding her infant.

Assessing the size and quantity of clots that are in a client's bedpan and informing the nurse.

Giving an anti-inflammatory medication to a client who is eight hours postdelivery.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Emptying a Foley catheter bag and reporting the urine volume is a routine task that does not require complex assessment or clinical judgment. Unlicensed care providers are typically trained in this procedure and can accurately measure and report the output to the nurse.

Choice B rationale

Helping a first-time mother achieve a good latch during breastfeeding requires specialized knowledge and assessment skills to ensure proper positioning and infant feeding. This task involves teaching and evaluating, which falls within the scope of nursing practice and should not be delegated to an unlicensed care provider.

Choice C rationale

Assessing the size and quantity of blood clots in a postpartum client's bedpan requires clinical judgment to determine if the findings are within normal limits or indicative of a potential complication. This assessment should be performed by a registered nurse who can interpret the findings in the context of the client's overall condition.

Choice D rationale

Administering medication, including anti-inflammatory drugs, is a nursing responsibility that requires knowledge of pharmacology, potential side effects, and client assessment. Medication administration should not be delegated to unlicensed care providers. .

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Correct Answer is D

Explanation

Choice A rationale

Discouraging the family from talking about death can hinder their grieving process and may prevent the dying client from having important conversations and finding closure. Open communication about death and dying is often therapeutic for both the client and their family members, allowing them to express emotions and support each other.

Choice B rationale

Informing the family that the client may soon be out of danger when the client is actively dying of renal failure is providing false reassurance and can erode trust between the nurse and the family. It is crucial to be honest and compassionate about the client's prognosis, preparing the family for the impending death rather than offering false hope.

Choice C rationale

While rest is important for a dying client, encouraging the family to leave the client alone may deprive both the client and the family of valuable time for connection and saying goodbye. The presence and support of loved ones can provide comfort to the dying person and begin the grieving process for the family.

Choice D rationale

Informing the family that it is time to bid farewell acknowledges the reality of the situation and provides an opportunity for the family to express their love, say their goodbyes, and find closure. This supportive action respects the dying process and the emotional needs of the family members as they face the imminent loss of their loved one. .

Correct Answer is ["100"]

Explanation

Step 1 is: Calculate the total daily dose: 3 mg/kg/day × 100 kg = 300 mg/day.

Step 2 is: Calculate the amount per dose: 300 mg/day ÷ 3 doses/day = 100 mg/dose.

The amount for each dose should be 100 mg.

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The nurse is having an exceptionally busy shift on an obstetrical unit.Which of the following tasks is the nurse justified in delegating to an unlicensed care provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a young client who is actively dying of renal failure.What should the nurse do when caring for the dying client's family members?

Correct Answer is D

Explanation

A nurse is preparing to administer gentamycin ordered for the patient at 3mg/kg/day divided equally every 8 hours. The patient is 100kg. How much should each dose be?

Correct Answer is ["100"]

Explanation

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The nurse is having an exceptionally busy shift on an obstetrical unit.
Which of the following tasks is the nurse justified in delegating to an unlicensed care provider?