2025 NEWEST.
A nurse on a med-surg unit has received change-of-shift
report & will care for 4 clients. Which of the following
client's needs may the nurse assign to an assistive
personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago
w/aspiration pneumonia
B. Reinforcing teaching w/a client who is learning to walk
using a quad cane
,C. Reapplying a condom catheter for a client who has
urinary incontinence
D. Applying a sterile dressing to a pressure ulcer -
-VERIFIED ANSWER--C. Reapplying a condom catheter
for a client who has urinary incontinence
Rationale: The application of a condom catheter is a
noninvasive, routine procedure that the nurse may
delegate to the AP
A nurse is delegating the ambulation of a client who had
knee arthroplasty 5 days ago to an AP. Which of the
following information should the nurse share with the
AP? Select All.
A. The roommate is up independently.
B. The client ambulates w/his slippers on over his
antiembolic stockings
,C. The client uses a front-wheeled walker when
ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning - -
VERIFIED ANSWER--B, C, D
The nurse gave the med as a chemical restraint to keep
the client from leaving the facility against medical advice.
The client did not consent.
A client who will undergo neurosurgery the following
week tells the nurse in the surgeon's office that he will
prepare his advance directives before he goes to the
hospital. Which of the following statements by the client
indicates to the nurse that he understands advance
directives?
, A. "I'd rather have my brother make decisions for me, but
I know it has to be my wife."
B. "I know they won't go ahead w/the surgery unless I
prepare these forms."
C. "I plan to write that I don't want them to keep me on a
breathing machine."
D. "I will get my regular doctor to approve my plan before
I hand it in at the hospital." - -VERIFIED ANSWER--C.
The client has the right to decide and specify which
medical procedures he wants when a lifethreatening
situation arrives
A client is about to undergo an elective surgical
procedure. Which of the following actions are
appropriate for the nurse who is providing preop care
regarding informed consent? Select all.
A. Make sure the surgeon obtained the client's consent