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A nurse in an acute care setting is planning care for a group of clients at the beginning of the shift. Which of the following tasks should the nurse assign to the assistive personnel (AP)?

Removal of the nasogastric tube of a client who has been receiving enteral feedings

Monitoring vital signs of a client who had an appendectomy 12 hr ago

Application of antibiotic ointment to the arm of a client who has dermatitis

Obtaining medical history information from a stable client who is being admitted

Answer and Explanation

The Correct Answer is B

Rationale:

A. Removal of the nasogastric tube is a more complex task that typically requires the nurse’s assessment and judgment.

B. Monitoring vital signs is within the scope of tasks that can be assigned to assistive personnel. This task involves routine observation and does not require complex decision-making.

C. Application of antibiotic ointment requires specific knowledge about the condition and treatment, which is generally performed by a nurse.

D. Obtaining medical history information is a task that requires clinical judgment and interaction, and should be done by a nurse rather than an assistive personnel.

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A. A client who has acute pancreatitis B. A client who is one-day postoperative following a total abdominal hysterectomy C. A client who had a stroke and is to be admitted D. A client who has terminal end-stage renal disease

Correct Answer is B

Explanation

Rationale:

A. Acute pancreatitis may require specialized medical management that might be beyond the RN’s experience from a different unit.

B. A client one-day postoperative following a total abdominal hysterectomy is appropriate for an RN with general surgical experience, as it involves standard postoperative care.

C. A client who had a stroke may require more specialized neuro care and assessment than the RN might be familiar with.

D. Terminal end-stage renal disease requires specialized care and experience in managing complex chronic conditions.

A. Insist the client take prescribed medications. B. Inform the client that the medication is the same as taken at home. C. Tell the client that refusal of the medication is considered noncompliance. D. Encourage the client to verbalize questions.

Correct Answer is D

Explanation

Rationale:

A. Insisting the client take medications does not respect the client’s autonomy and is not an advocacy action.

B. Informing the client that the medication is the same as taken at home does not necessarily address the client’s concerns or questions.

C. Telling the client that refusal is noncompliance does not support client autonomy and does not address their concerns.

D. Encouraging the client to verbalize questions supports their right to be informed and make decisions about their care, demonstrating advocacy.

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A nurse in an acute care setting is planning care for a group of clients at the beginning of the shift. Which of the following tasks should the nurse assign to the assistive personnel (AP)?

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Correct Answer is B

Explanation

Correct Answer is D

Explanation

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Take full exam for free A nurse in an acute care setting is planning care for a group of clients at the beginning of the shift. Which of the following tasks should the nurse assign to the assistive personnel (AP)?

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A nurse in an acute care setting is planning care for a group of clients at the beginning of the shift. Which of the following tasks should the nurse assign to the assistive personnel (AP)?