The nurse needs to delegate some tasks related to a homebound client’s care to a home health aide. Which task should the nurse assign to the aide?

Fitting a prosthetic device.

Evaluating the client’s need for an elevated toilet seat.

Performing a sterile dressing change.

Assessing a pressure sore.

Answer and Explanation

The Correct Answer is B

Answer and explanation The correct answer is B. Choice A rationale

Fitting a prosthetic device requires specialized knowledge and skills that a home health aide may not possess. This task should be performed by a healthcare professional with appropriate training.

Choice B rationale

Evaluating the need for an elevated toilet seat involves assessing the client’s mobility and safety in the bathroom, tasks that a home health aide could perform under the supervision of a nurse.

Choice C rationale

Performing a sterile dressing change is a complex task that requires specific nursing knowledge and skills. It should not be delegated to a home health aide.

Choice D rationale

Assessing a pressure sore involves making judgments about the client’s skin integrity and the effectiveness of treatment strategies. This is a nursing responsibility and should not be delegated to a home health aide.

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Correct Answer is C

Explanation

Answer and explanation The correct answer is C. Choice A rationale

While the ANA Code of Ethics provides general guidance on ethical nursing practice, it does not provide specific procedures for reporting elder abuse.

Choice B rationale

A nursing procedure manual might not contain the specific legal procedures for reporting elder abuse. These procedures can vary by jurisdiction.

Choice C rationale

State law often provides specific guidelines on how and when to report suspected elder abuse. Therefore, it would be the most appropriate resource for the nurse to use in this situation.

Choice D rationale

The Nurse Practice Act governs nursing practice in each state, but it might not provide detailed procedures for reporting elder abuse.

A. Potassium level of 3.7 mEq/L (3.7 mmol/L). B. B-type natriuretic peptide (BNP) level of 550 pg/mL (550 ng/L). C. Total cholesterol level of 190 mg/dL (4.92 mmol/L). D. Glycosylated hemoglobin (A1C) level of 7%.

Correct Answer is B

Explanation

Answer and explanation

The correct answer is Choice B.

Choice A rationale

A potassium level of 3.7 mEq/L (3.7 mmol/L) is within the normal range, which is typically between 3.6 and 5 mEq/L12. Therefore, this result does not need to be reported immediately to the healthcare provider.

Choice B rationale

B-type natriuretic peptide (BNP) levels are used to diagnose and monitor heart failure. A BNP level of 550 pg/mL (550 ng/L) is significantly higher than the normal range, which is less than 100 pg/mL34. High BNP levels indicate that the heart is working harder than normal, which is a common occurrence in heart failure. Therefore, this result should be reported immediately to the healthcare provider.

Choice C rationale

A total cholesterol level of 190 mg/dL (4.92 mmol/L) is considered borderline high. While it’s important to manage cholesterol levels in patients with heart failure, this result is not critical and does not need to be reported immediately to the healthcare provider.

Choice D rationale

A glycosylated hemoglobin (A1C) level of 7% is at the threshold for the diagnosis of diabetes. Diabetes can complicate the management of heart failure and increase the risk of cardiovascular events. However, this result is not critical and does not need to be reported immediately to the healthcare provider.

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The nurse needs to delegate some tasks related to a homebound client’s care to a home health aide. Which task should the nurse assign to the aide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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