Nokea
The nurse is caring for a client with dyspnea. Which interventions can the nurse delegate to an unlicensed assistive personnel (UAP)? Select all that apply.
- A. assessing lung sounds
- B. checking a pulse oximetry
- C. administering oxygen via nasal cannula
- D. encouraging the client to cough and deep breathe
- E. showing the client how to use an incentive spirometer
Correct Answer: B,D
Rationale: Checking pulse oximetry and encouraging coughing/deep breathing are within the UAP's scope. Assessing lung sounds, administering oxygen, and teaching are nursing responsibilities.
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The nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which client task should the nurse delegate to the UAP?
- A. a client whose IV infiltrated and needs replacing
- B. a client on BiPAP who needs arterial blood gases (ABGs) drawn
- C. a client with mild dementia who needs assistance with her food tray
- D. a client who needs a wet-to-dry dressing change on an abdominal incision
Correct Answer: C
Rationale: Assisting with a food tray for a client with mild dementia is within the UAP's scope of practice, as it involves basic assistance with activities of daily living. Options A, B, and D require clinical judgment or invasive procedures, which are outside the UAP's scope.
A nurse manager and a case manager are talking to a group of new nurses about the differences of case management and care coordination. The nurse manager understands which to be true regarding the differences?
- A. With care coordination, the stakeholder can be an insurance company or a hospital.
- B. The main goal of case management is to promote a better quality of life for the client.
- C. Case management is based on a holistic approach and an understanding of client-family dynamics.
- D. In care coordination, the client defines the scope of work based on a plan that is created with input from the client.
Correct Answer: C
Rationale: Case management focuses on holistic care and client-family dynamics, coordinating resources for optimal outcomes.
A client is admitted with inflammatory bowel syndrome (Crohn's disease). Which nursing measures would be included in the client's care plan? Select all that apply.
- A. high-fat diet
- B. lactulose therapy
- C. daily weight
- D. corticosteroids
Correct Answer: C,D
Rationale: Daily weights monitor fluid status, and corticosteroids manage inflammation in Crohn's disease. High-fat diets and lactulose are not typically indicated.