You are responsible for the care of a postoperative patient with a thoracotomy. The patient has been given a nursing diagnosis of Activity Intolerance. Which action should you delegate to the nursing assistant? A. Instructing the patient to alternate rest and activity periods B. Encouraging, monitoring, and recording nutritional intake C. Monitoring… Read More »
A client going through intense chemotherapy treatment is admitted to the unit. Which of these would the nurse instruct the nursing assistant to report to prevent an acid-base imbalance? A. Hair loss during the morning bath. B. Complaints of pain associated with exertion. C. Failure to eat all the food on the… Read More »
A patient with a pulmonary embolism is receiving anticoagulation with IV heparin. What instructions would you give the nursing assistant who will help the patient with activities of daily living? Select all that apply. A. Use a lift sheet when moving and positioning the patient in bed. B. Use an electric razor when shaving… Read More »
The nurse is assigned to a client who has been diagnosed with disseminated herpes zoster. Which PPE will the nurse plan to use when preparing to assess the client? Select all that apply. A. Gloves B. Goggles C. Gown D. N95 respirator E. Surgical face mask F. Shoe covers Correct… Read More »
Nurse Janus enters a room and finds a client lying on the floor. Which of the following actions should the nurse perform first? A. Call for help to get the client back in bed B. Establish whether the client is responsive C. Assist the client back to bed D. Ask the client… Read More »
The ambulance has transported a man with severe chest pain. As the man is being transferred to the emergency stretcher, the nurse assessed the following: unresponsiveness, cessation of breathing, and absence of palpable pulse. Which of the following tasks is proper to assign to the nursing assistant? A. Aiding with oral intubation B.… Read More »
Jenna is a nurse from the medical-surgical unit of a tertiary hospital. She was asked to float on the orthopedic in which she has no prior experience working on. Which client should be assigned to her? A. A client with a cast for a fractured femur and who has numbness and discoloration of the… Read More »
You are supervising a nursing student who is providing care for a patient with thoracotomy with a chest tube. What findings would you clearly instruct the nursing student to notify you about immediately? A. Chest tube drainage of 10 to 15 mL/hr. B. Continuous bubbling in the water seal chamber. C. Complaints of… Read More »
Which task is most appropriate to assign to the nursing assistant when an instantaneous death transpires in the ED? Select all that apply. A. Assisting with postmortem care B. Escorting the family to a place of privacy C. Going with the organ donor specialist to talk to the family D. Helping the… Read More »
The newly hired nurse is assigned by the charge nurse to care for a client with acute renal failure and hypernatremia. Which action can the nurse assign to the nursing assistant? Select all that apply. A. Administer 0.45% saline by IV line B. Assess daily weights for trends C. Check for indications of… Read More »