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 A

Explanation

A. Limiting sugar and caffeine intake can positively impact sleep and anxiety levels.
B. Drinking red wine at bedtime might initially induce sleep but could disrupt sleep patterns and worsen anxiety.
C. Reinforcing the reality of his financial situation might increase anxiety rather than diminish it.

D. Encouraging daily rituals might help establish a routine but might not directly address the anxiety related to financial stress.

A. "I understand this is a disease that occurs mostly in older men." B. "I have found the support I need from my faith and family." C. "I think I had this disease for a long time, but the doctor did not find it." D. "I do not have any use for those who say this disease is going to win."

Correct Answer is B

Explanation

A. Acknowledging the general demographics of the disease might indicate understanding but does not explicitly show acceptance of the prognosis.
B. This statement reflects a level of acceptance as the client has found support and comfort from faith and family, indicating a more positive coping mechanism.
C. This statement indicates a sense of disbelief or denial rather than acceptance of the prognosis.
D. Rejecting others' negative statements about the disease doesn’t necessarily indicate acceptance of one's prognosis; it may reflect resistance or denial.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A highly successful businessman presents to the community mental health center complaining of sleeplessness and anxiety over his financial status. Which action should the practical nurse (PN) take to assist this client in diminishing his anxiety?

Correct Answer is A

Explanation

Which statement by a mature adult client with advanced prostate cancer best indicates that he has reached a level of acceptance of his prognosis?

Correct Answer is B

Explanation

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.)

The practical nurse (PN) is reinforcing teaching to a group of evacuees in a mass casualty center after a natural flooding disaster. Which information should the PN include in the review? (Select all that apply.)

Which intervention should the practical nurse (PN) reinforce for a client with pruritus?

A mother asks the practical nurse (PN) about the immunization schedule for whooping cough. Which is the recommended schedule that the PN should convey?

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?

During the first trimester of pregnancy, a client who was treated for genital herpes with acyclovir prior to this pregnancy tells the practical nurse (PN) that she is experiencing an episode of genital herpes. Which nursing intervention has the highest priority?