When making assignments for residents of a long-term care facility who require assistance with feeding, which client should the charge nurse assign to the practical nurse (PN) rather than the unlicensed assistive personnel (UAP)?
An elderly woman who refuses to eat most meals served.
A disabled client who is learning to use adaptive equipment.
A client who drools but swallows solids after many attempts.
An older, edentulous client who has loose fitting dentures.
The Correct Answer is A
Choice A reason: This client requires the PN's intervention, as she may have a psychological or physiological problem that affects her appetite and nutrition. The PN should assess the client's preferences, needs, and barriers, and provide appropriate interventions such as offering alternatives, supplements, or snacks, or consulting a dietitian or a social worker.
Choice B reason: This client can be assigned to the UAP, as long as they have been trained and supervised by the PN. The UAP should assist the client with feeding using the adaptive equipment, and encourage the client's independence and self-esteem.
Choice C reason: This client can be assigned to the UAP, as long as they have been trained and supervised by the PN. The UAP should assist the client with feeding in a slow and gentle manner, and monitor the client's swallowing and choking risk.
Choice D reason: This client can be assigned to the UAP, as long as they have been trained and supervised by the PN. The UAP should assist the client with feeding using soft and moist foods, and check the client's dentures for fit and cleanliness.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Heparin in Normal Saline prescribed for deep vein thrombosis is not a safe infusion to administer without an IV infusion pump. Heparin is a high-alert medication that requires precise and consistent dosing and monitoring. An IV infusion pump can ensure accurate and steady delivery of heparin and prevent adverse effects such as bleeding or clotting.
Choice B reason: Regular Insulin in Normal Saline prescribed for ketoacidosis is not a safe infusion to administer without an IV infusion pump. Insulin is a high-alert medication that requires careful and frequent adjustment of the infusion rate based on the blood glucose level. An IV infusion pump can provide precise and flexible control of the insulin infusion and prevent complications such as hypoglycemia or hyperglycemia.
Choice C reason: Magnesium in Normal Saline prescribed for hypomagnesemia is not a safe infusion to administer without an IV infusion pump. Magnesium is a medication that can cause serious side effects such as cardiac arrhythmias, respiratory depression, or neuromuscular weakness if infused too rapidly or in excess. An IV infusion pump can regulate the infusion rate and volume of magnesium and prevent toxicity or overdose.
Choice D reason: Ceftriaxone in 5% Dextrose in Water prescribed for pneumonia is a safe infusion to administer without an IV infusion pump. Ceftriaxone is an antibiotic that can be given as a bolus or a slow infusion over 30 minutes. It does not require frequent or precise adjustment of the infusion rate or volume. It can be administered using a gravity drip method with a manual flow regulator and a drop factor.
Correct Answer is C
Explanation
Choice A reason: A child who has had a cold for two days and now is coughing up green sputum is not the most urgent client to assess. The child may have a bacterial infection that requires antibiotics, but the condition is not life-threatening or unstable. The child can be classified as urgent and seen within one hour.
Choice B reason: A male adolescent who has been vomiting for the past 12 hours and describes himself as very weak is not the most urgent client to assess. The adolescent may have dehydration, electrolyte imbalance, or gastroenteritis that requires fluid replacement and antiemetics, but the condition is not life-threatening or unstable. The adolescent can be classified as urgent and seen within one hour.
Choice C reason: A female client with severe right lower abdominal pain who is febrile and vomiting is the most urgent client to assess. The client may have appendicitis, ovarian torsion, ectopic pregnancy, or another serious condition that requires immediate diagnosis and treatment. The client is at risk of perforation, infection, shock, or hemorrhage and needs to be seen as soon as possible. The client can be classified as emergent and seen within 15 minutes.
Choice D reason: An elderly client with peripheral vascular disease who is complaining of severe leg pain when ambulating is not the most urgent client to assess. The client may have intermittent claudication, ischemia, or ulceration that requires analgesics, antiplatelets, or vascular surgery, but the condition is not life-threatening or unstable. The client can be classified as semi-urgent and seen within two hours.
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