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Determine the need for urinary catheterizations: This task requires a higher level of assessment and clinical judgment, typically performed by a registered nurse (RN) rather than a practical nurse (PN).

Titrate Oxygen to prescribed parameters: Adjusting oxygen levels requires specialized training and knowledge, often performed by RNs or respiratory therapists.

Evaluate and update plans of care for clients: This task involves critical thinking and decision- making skills beyond the scope of a PN's role, typically performed by an RN

An abdominal binder can be worn daily to reduce the protrusion: This is not an appropriate intervention for an umbilical hernia in an infant. Abdominal binders are typically used for support after abdominal surgeries or to manage hernias in adults.

The quarter should be secured with an elastic bandage wrap: Taping a quarter over the umbilicus is not a recommended treatment for an umbilical hernia and could pose a choking hazard to the infant.

Restrictive clothing will be adequate to help the hernia go away: Restrictive clothing is not an effective treatment for umbilical hernias in infants and could potentially cause discomfort or complications.

Advise the client to place one nitroglycerin tablet under his tongue as a precaution: Nitroglycerin is contraindicated in combination with phosphodiesterase type 5 inhibitors like tadalafil due to the risk of severe hypotension. This action could worsen the client's condition.

Tell the client to have someone bring him to an emergency department immediately: Skin flushing is a common side effect of tadalafil and not necessarily indicative of a medical emergency, especially in the absence of chest pain or other concerning symptoms.

Instruct the client to increase his intake of oral fluids until the skin flushing is relieveD Increasing fluid intake is not likely to alleviate the skin flushing associated with tadalafil. This response does not address the client's concern adequately.

An adolescent with multiple contusions due to a fall that occurred 2 days ago: While contusions may require assessment and management, they typically do not require the advanced nursing skills of an RN. This task could be appropriately managed by a practical nurse (PN).

A 75-year-old client with renal calculi who requires urine straining: Urine straining for renal calculi does not typically require the advanced nursing skills of an RN. This task could be appropriately managed by a practical nurse (PN).

A 30-year-old depressed client who admits to suicide ideation: Managing a client with depression and suicide ideation requires specialized psychiatric nursing skills and interventions, which are within the scope of practice of an RN rather than a practical nurse (PN).

Osmolality: Osmolality measures the concentration of solutes in the blood and is not typically affected by naproxen or indicative of the reported symptoms.

Serum calcium: While naproxen can cause gastrointestinal irritation and ulceration, it does not typically affect serum calcium levels. Monitoring serum calcium would not directly address the client's reported symptoms.

Erythrocyte sedimentation rate (ESR): ESR is a nonspecific marker of inflammation and is not directly related to the reported symptoms of stomach pain, weakness, and fatigue associated with naproxen use.

Cover with a receiving blanket: This is incorrect because the phototherapy light needs to reach the infant's skin directly. Covering the infant with a blanket would block the light and reduce the effectiveness of the treatment.

Perform diaper changes under the light: While it is important to minimize the time the infant is away from the phototherapy light, diaper changes should be done quickly and efficiently, not necessarily under the light, to ensure cleanliness and to prevent any potential discomfort or safety issues.

Feed the infant every 4 hours: Feeding the infant is important, but the frequency of feeding should be based on the infant's needs and not specifically tied to the phototherapy schedule. Additionally, frequent feeding can help promote bowel movements, which can aid in the excretion of bilirubin.

Instructing the client to increase oral fluids might not address the underlying issue causing the skin flushing, especially considering the client's history of stable angina. Skin flushing could be indicative of a more serious cardiovascular issue.

Advising the client to take nitroglycerin could exacerbate any potential adverse effects caused by the tadalafil, as both medications can lower blood pressure and cause vasodilation. Without further assessment, administering nitroglycerin could be unsafe.

While skin flushing can be a common side effect of tadalafil, the client's history of stable angina and the potential for interactions with nitroglycerin necessitate a more urgent assessment and intervention.

Maintain contact isolation: Prostatitis is typically not contagious and does not require contact isolation.

Avoid urinary catheterization: While urinary catheterization may be necessary in some cases of prostatitis with severe urinary retention, it is not a general instruction for all cases.

Restrict oral fluid intake: Restricting oral fluid intake is not typically indicated for prostatitis and may exacerbate symptoms such as urinary retention.

Palpating the flank area may not be directly related to the care of the suprapubic catheter unless there are specific concerns or symptoms related to the renal system that warrantassessment of the kidneys.

While measuring abdominal girth can provide information about abdominal distention or fluid accumulation, it may not directly address the care needs related to the suprapubic catheter unless there are specific concerns related to catheter function or drainage.

Assessing the perineal area may be relevant for clients with other types of urinary catheters
(e.g., indwelling urethral catheters), but for clients with a suprapubic catheter, the focus is on the site of catheter insertion in the lower abdomen.