Nokea
The nurse is caring for a patient diagnosed with diabetes. Which task will the nurse assign to the nursing assistive personnel?
- A. Providing nail care
- B. Teaching foot care
- C. Making the patient's bed
- D. Determining aspiration risk
Correct Answer: C
Rationale: The correct answer is making the patient's bed. Delegating bed-making tasks to nursing assistive personnel is appropriate as it falls within their scope of practice and helps free up the nurse's time to focus on tasks that require their specialized skills and knowledge. Providing nail care and teaching foot care involve direct patient care and education, which should be performed by licensed nursing staff. Determining aspiration risk requires critical thinking and clinical judgment, making it a responsibility of the nurse.
You may also like to solve these questions
When caring for a client with diarrhea due to shigellosis, what precautions should the nurse implement?
- A. Wear a gown when caring for the client.
- B. Wear gloves only.
- C. Use standard precautions only.
- D. Wear a mask and face shield.
Correct Answer: A
Rationale: The correct answer is to wear a gown when caring for the client. Shigellosis is highly contagious, and contact precautions are essential to prevent the spread of infection. Wearing gloves alone may not provide adequate protection as the client's diarrhea can contain infectious pathogens that can easily spread. Standard precautions include hand hygiene, but specific precautions for shigellosis require wearing a gown to protect against contact with infectious material. Wearing a mask and face shield are not necessary for shigellosis, as the primary mode of transmission is through the fecal-oral route, and these precautions are not indicated for this type of transmission.
A client expresses that, based on religious values and mandates, a blood transfusion is not an acceptable treatment option. Which of the following responses should the nurse make?
- A. "I believe in this case you should make an exception and accept the blood transfusion."
- B. "I know your family would approve of your decision to have a blood transfusion."
- C. "Why does your religion mandate that you cannot receive any blood transfusions?"
- D. "Let's discuss the necessity for a blood transfusion with your religious and spiritual leaders and come to a reasonable solution."
Correct Answer: D
Rationale: The correct response is to involve the client's religious and spiritual leaders in the discussion to find a solution that respects both the client's values and medical needs. Option A is incorrect as it dismisses the client's beliefs. Option B assumes the family's opinion over the client's. Option C is inappropriate as it questions the client's religious beliefs rather than addressing the concern respectfully.
While documenting in a client's medical record, which of the following entries should the nurse record?
- A. "Incision without redness or drainage"
- B. "Drank adequate amounts of fluid with meals"
- C. "Administered pain medication"
- D. "Oral temperature slightly elevated at 0800"
Correct Answer: D
Rationale: The correct answer is D because documenting specific observations, such as an oral temperature being slightly elevated at a specific time, is crucial for monitoring the client's health status accurately. This type of information helps in assessing trends and changes in the client's condition over time. Choice A is incorrect as it lacks specificity and does not provide measurable data about the client's condition. Choice B is incorrect because it is a general statement related to client behavior rather than a specific health observation. Choice C is incorrect as it reflects an action taken by the nurse and not a direct client's condition or observation.
The nurse is preparing to provide a complete bed bath to an unconscious patient. The nurse decides to use a bag bath. In which order will the nurse clean the body, starting with the first area?
- A. Neck, shoulders, and chest
- B. Abdomen and groin/perineum
- C. Legs, feet, and web spaces
- D. Back of neck, back, and then buttocks
Correct Answer: B
Rationale: In providing a complete bed bath using a bag bath for an unconscious patient, the nurse should follow a specific order. The correct sequence is as follows: Neck, shoulders, and chest; Both arms, both hands, web spaces, and axilla; Abdomen and then groin/perineum; Right leg, right foot, and web spaces; Left leg, left foot, and web spaces; Back of neck, back, and then buttocks. Choice A is incorrect as it does not follow the correct sequence for a bed bath. Choice C is incorrect as it focuses on the lower extremities before addressing the upper body. Choice D is incorrect as it starts with the back of the patient instead of the upper body areas first.
A nurse is caring for a young adult at a college health clinic. Which of the following actions should the nurse take first?
- A. Give the client information about immunization against meningitis.
- B. Tell the client to have a TB skin test every 2 years.
- C. Determine the client's health risks.
- D. Teach the client about exercise recommendations.
Correct Answer: C
Rationale: Assessing the client's health risks is the priority as it provides essential information to guide subsequent care. By understanding the client's health risks, the nurse can tailor health education and interventions, such as immunizations and lifestyle modifications, to address specific needs. Providing information about immunization against meningitis (Choice A) is important but should come after assessing health risks. Instructing the client to have a TB skin test every 2 years (Choice B) is relevant but not the initial step in care. Teaching about exercise recommendations (Choice D) is also essential but should follow the assessment of health risks.