Nokea
A nurse is coordinating care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?
- A. Assess the pain level of a client who has received acetaminophen.
- B. Check a client's peripheral IV site for redness or swelling.
- C. Measure the intake and output of a client who has received furosemide.
- D. Reinforce teaching with a client about crutch-gait walking.
Correct Answer: C
Rationale: Measuring intake and output is within the AP’s scope and appropriate for delegation.
You may also like to solve these questions
A nurse is reinforcing teaching with a client who is about to start using a standard walker. Which of the following statements by the client indicates an understanding of the instructions?
- A. I'll keep my elbows slightly bent when I grasp the walker.
- B. I'll slide the walker and move it about a foot in front of me.
- C. I'll move the walker and my stronger leg ahead at the same time.
- D. I'll keep the height of my walker adjusted, so I lean slightly forward.
Correct Answer: A
Rationale: Slightly bent elbows ensure stability and comfort when using a walker.
A nurse is assisting with scoliosis screenings for students at a public school. Which of the following findings should the nurse recognize as an indication of scoliosis?
- A. Unequal height of the shoulders.
- B. Increased concave curve of the thoracic spine.
- C. Expansion of the upper intercostal spaces.
- D. Increased convex curve of the cervical spine.
Correct Answer: A
Rationale: Unequal shoulder height is a classic sign of scoliosis due to lateral spinal curvature.
A nurse is reinforcing teaching about advance directives with a client who has terminal colorectal cancer. Which of the following statements by the client indicates an understanding of the teaching?
- A. I'm glad to have the opportunity to choose what kind of care I receive while I still can.
- B. I can't change my mind about the care I will receive once I sign my living will.
- C. Once I fill out my living will, there will be a 1-month delay before it is legally binding.
- D. If I want life support, I'll need to sign a separate consent form first.
Correct Answer: A
Rationale: This reflects understanding that advance directives allow care choices while capable.
A nurse is caring for an older adult client who has a hearing aid. Which of the following actions should the nurse take when the client reports hearing a whistling sound from the hearing aid?
- A. Clean the hearing aid with isopropyl alcohol.
- B. Turn the hearing aid off for 5 minutes.
- C. Soak the hearing aid in warm water.
- D. Decrease the volume on the hearing aid.
Correct Answer: D
Rationale: Lowering volume addresses feedback, a common cause of whistling.
A nurse is reinforcing teaching with an older adult client who has urinary incontinence. Which of the following instructions should the nurse include?
- A. Drink citrus juice with meals.
- B. Train the bladder by voiding every 5 hours.
- C. Apply adult diapers at bedtime.
- D. Perform pelvic-muscle exercises.
Correct Answer: D
Rationale: Pelvic-muscle exercises strengthen the pelvic floor, improving bladder control.