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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: The number of clients leaving the unit for diagnostic tests is not the most important information for the charge nurse to consider. The charge nurse should focus on the needs and conditions of the clients who are staying on the unit and require nursing care. The charge nurse should also ensure that the clients who are leaving the unit are accompanied by appropriate staff and have their medications and equipment ready.
Choice B reason: The acuity level of the clients on the unit is the most important information for the charge nurse to consider. The acuity level reflects the complexity and intensity of the clients' needs and the amount of nursing care they require. The charge nurse should assess the acuity level of the clients on the unit and compare it with the available staff and resources. The charge nurse should also consider the potential changes in the clients' conditions and the expected admissions and discharges.
Choice C reason: The physician's plans to perform procedures on the unit is not the most important information for the charge nurse to consider. The charge nurse should coordinate with the physician and the staff to ensure that the procedures are performed safely and efficiently. However, the charge nurse should not base the staffing decision solely on the physician's plans, as they may change or be delayed. The charge nurse should also consider the overall needs and status of the clients on the unit.
Choice D reason: The skill level of the personnel staffing the unit is not the most important information for the charge nurse to consider. The charge nurse should evaluate the skill level of the staff and assign them to the appropriate clients and tasks. The charge nurse should also provide supervision and guidance to the staff and ensure that they follow the policies and standards of care. However, the charge nurse should not base the staffing decision solely on the skill level of the staff, as they may not be sufficient or suitable for the clients' needs. The charge nurse should also consider the acuity level and the number of the clients on the unit.
Correct Answer is A
Explanation
Choice A reason: Mumps is a highly contagious viral infection that spreads through respiratory droplets¹. Droplet precautions are necessary to prevent the transmission of the virus to other patients and staff. An isolation cart contains personal protective equipment (PPE) such as masks, gloves, and gowns that the nurse and visitors should wear when entering the room.
Choice B reason: Scheduling bedside play time with the occupational therapist may be beneficial for the child's development and well-being, but it is not the most important intervention. The child may be too sick or uncomfortable to engage in play activities, and the therapist may be exposed to the virus.
Choice C reason: Instructing the child's parents about the need for transmission precautions is an important intervention, but it is not the first one. The nurse should first ensure that the child is isolated and protected from spreading the infection, and then educate the parents about the signs, symptoms, and complications of mumps, as well as the preventive measures such as vaccination and hygiene.
Choice D reason: Assigning the child to a room close to the nurse's station may facilitate the monitoring and care of the child, but it is not the most important intervention. The child may be disturbed by the noise and activity near the station, and the risk of transmission may increase if the child is not isolated.
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