Which assignment is best for the practical nurse to assign to the unlicensed assistive personnel (UAP)?

Evaluate the client's understanding of discharge instructions following a colonoscopy.

Encourage an elderly client who was admitted for dehydration to increase intake of oral fluids.

Measure the urinary output of a client who is receiving diuretics for congestive heart failure.

Check a client's femoral dressing for signs of bleeding after a cardiac catheterization.

Answer and Explanation

The Correct Answer is C

A.   Evaluating a client's understanding of discharge instructions typically requires a nursing assessment and explanation, more suitable for a licensed nurse.
B.   Encouraging fluid intake might involve assessing the client's condition and providing specific advice, which aligns more with the responsibilities of a licensed nurse.
C.   Measuring urinary output is a task that falls within the scope of practice for unlicensed assistive personnel (UAP), as it involves routine data collection and does not require clinical judgment.
D.   Checking a client's femoral dressing after a cardiac catheterization requires observation for signs of bleeding, which involves assessment and potential interventions beyond the UAP's scope of practice.

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

Explanation

A. Leading an aerobics class typically contributes to better cardiovascular health and may not directly correlate with an increase in blood pressure.
B. An increase in age is a common factor associated with an elevation in blood pressure.
C. Having a body mass index (BMI) of 22, which falls within the healthy range, might not significantly contribute to a substantial increase in blood pressure.
D. History of diabetes mellitus can contribute to changes in blood pressure over time.
E. Hyperlipidemia, especially if poorly managed, can lead to an elevation in blood pressure.

A. Obliterate the entry and insert the correct information. B. Notify the charge nurse that the entry needs to be revised. C. Draw one line through the entry and insert the correct information. D. Chart the correct information in the next column.

Correct Answer is C

Explanation

A. Obliterating the entry could make the record look messy and might not meet documentation standards.
B. Notifying the charge nurse might be appropriate for major errors or if the policy requires it, but it might not be necessary for a simple correction like this.
C. Drawing a single line through the erroneous entry and inserting the correct information maintains the integrity of the chart and shows the correction clearly.
D. Charting the correct information in the next column might create confusion about the sequence of data and might not clearly indicate the correction made.

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Which assignment is best for the practical nurse to assign to the unlicensed assistive personnel (UAP)?

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Naxlex Comprehensive Predictor Exams

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

Explanation

The practical nurse (PN) is charting vital signs on a hand-written flow sheet and realizes that an error has been made. What should the PN do to rectify this error?

Correct Answer is C

Explanation

The practical nurse (PN) is caring for a newborn whose mother has poorly controlled type 1 diabetes mellitus and observes the newborn is grunting with mild sternal retractions. The PN should recognize the newborn is exhibiting signs of which condition?

The practical nurse (PN) overhears a female client with Cushing's syndrome telling her family in a very loud and angry voice to leave her room and not to come back. The response by the PN is based on recognizing which common manifestation of the syndrome.

A female client with immune thrombocytopenic purpura (ITP) is transferred to a long-term care facility for physical rehabilitation. To prevent injury, which action is most important for the practical nurse to implement?

The practical nurse (PN) is assisting with the preparation of a client for fecal diversion surgery. While inserting an indwelling urinary catheter, the client asks if the surgical opening will be visible. Which action should the PN implement?

The practical nurse (PN) notices that one of the unlicensed assistive personnel (UAP) working in the long term care facility consistently records subnormal temperatures when using a tympanic thermometer. Which action should the PN take first?

When a small fire breaks out in the kitchen of a long-term care facility, which task should be performed by the practical nurse (PN) rather than the unlicensed assistive personnel (UAP)?

The practical nurse (PN) reorients a male client to the correct time, day, date, location, and why he is here today but he is only able to remember his name and where he is. Based on these findings, what should the PN document?