The practical nurses (PN) notes that an unlicensed assistive personnel (UAP) is ambulating a male client who had a stroke and has right-sided weakness. The UAP is walking on the client's left side. Which action should the PN take?

Tell the UAP to take the client back to his room.

Instruct the UAP to walk on the client's affected side.

Take over the ambulation and counsel the UAP later.

Provide client an assistive device, such as a cane or walker.

Answer and Explanation

The Correct Answer is B

A.   Tell the UAP to take the client back to his room. - This action might not address the problem and may disrupt the ongoing activity without rectifying the situation.
B.   Instruct the UAP to walk on the client's affected side. - When assisting a client with rightsided weakness, the caregiver should support the affected side, providing assistance and stability.
Instructing the UAP to walk on the client's affected side is the appropriate action.
C.   Take over the ambulation and counsel the UAP later. - This might disrupt the ongoing care and might not rectify the situation immediately. Addressing it promptly is crucial.
D.   Provide the client an assistive device, such as a cane or walker. - While assistive devices can be beneficial, in this scenario, the immediate concern is correcting the UAP's positioning

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Correct Answer is ["B","C","D"]

Explanation

A. Irrigate an indwelling urinary catheter for a client with bladder suspension. - This procedure requires specialized skills and should be performed by a licensed nurse.
B. Empty bedside drainage unit for a client with an indwelling urinary catheter. - UAP can safely perform this task by following established protocols to maintain catheter hygiene.
C. Transport a urine culture sample to the laboratory. - This task involves safely transporting a specimen and does not require specialized medical knowledge.
D. Obtain a post-voided residual (PVR) volume. - This task can be performed by UAP under supervision or with appropriate training, using a bladder scanner or assisting the client to measure remaining urine.
E. Teach the client with fluid restrictions how to measure urine output. - Teaching tasks generally fall under the responsibility of licensed nursing staff and may require specific medical knowledge.

A. Term 6, Premature 3, Abortion 3, Living 2. B. Term 2, Premature 3, Abortion 3, Living 2. C. Term 2, Premature 1, Abortion 0, Living 3. D. Term 3, Premature 0, Abortion 3, Living 2.

Correct Answer is D

Explanation

A. Term 6, Premature 3, Abortion 3, Living 2. This choice is incorrect because it counts each miscarriage as both a term and a premature birth. A term birth is one that occurs after the completion of the 37th week of gestation. A premature birth is one that occurs before the completion of the 37th week of gestation. A miscarriage is a pregnancy loss that occurs before the completion of the 20th week of gestation.

B. Term 2, Premature 3, Abortion 3, Living 2. This choice is incorrect because it counts each miscarriage as a premature birth. A miscarriage is not a premature birth because it occurs before the viability of the fetus.

C. Term 2, Premature 1, Abortion 0, Living 3. This choice is incorrect because it does not count the miscarriages as abortions. An abortion is any pregnancy loss that occurs before the completion of the 20th week of gestation, regardless of whether it is spontaneous or induced.

D. Term 3, Premature 0, Abortion 3, Living 2. This choice is correct because it accurately reflects the client's obstetrical history. The client has had three term births (two living children and one current pregnancy), no premature births, three abortions (all miscarriages in the first trimester), and two living children.

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The practical nurses (PN) notes that an unlicensed assistive personnel (UAP) is ambulating a male client who had a stroke and has right-sided weakness. The UAP is walking on the client's left side. Which action should the PN take?

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Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is assigning care for a group of clients on the urology medical unit. Which client care interventions should the PN assign to the unlicensed assistive personnel (UAP)? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

Correct Answer is D

Explanation

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