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NurseDive Free Nursing Practice Question
A nurse on a pediatric unit is working with an assistive personnel (AP). Which of the following tasks should the nurse have the AP perform first?
A. Feed a school-age client who has burns on both upper extremities.
The nurse should have the AP perform the task of feeding a school-age client who has burns on both upper extremities first. This task is a high priority because it addresses the client's immediate need for nutrition and hydration. The client's burns may make it difficult for them to feed themselves, so the assistance of the AP is necessary to ensure that the client receives adequate nourishment.
B. Collect a stool sample for ova and parasites from a toddler.
C. Bathe an adolescent client who is disabled.
D. Ambulate a preschooler who is postoperative to the playroom.
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Full Explanation
The nurse should have the AP perform the task of feeding a school-age client who has burns on both upper extremities first. This task is a high priority because it addresses the client's immediate need for nutrition and hydration. The client's burns may make it difficult for them to feed themselves, so the assistance of the AP is necessary to ensure that the client receives adequate nourishment.
The other tasks are also important, but they are not the highest priority in this situation. Collecting a stool sample for ova and parasites from a toddler [b] and bathing an adolescent client who is disabled [c] are routine tasks that can be performed as time permits. Ambulating a preschooler who is postoperative to the playroom [d] is also important for promoting mobility and recovery, but it is not as urgent as addressing the immediate need for nutrition and hydration.
Similar Questions
A nurse is planning an in-service that encourages active member participation and feedback about decreasing nosocomial infections on the unit. Which of the following leadership styles does the nurse plan to use?
A. Democratic
The nurse is planning to use a democratic leadership style when conducting an in-service that encourages active member participation and feedback about decreasing nosocomial infections on the unit. A democratic leader values the input and opinions of team members and encourages participation and collaboration in decision-making. By encouraging active participation and feedback from team members, the nurse is demonstrating a democratic approach to leadership.
B. Laissez-faire
takes a hands-on approach and allows team members to make their own decisions without providing guidance or direction.
C. Autocratic
makes decisions unilaterally without seeking input or feedback from team members.
D. Open-door
maintains an open-door policy and is accessible to team members, but this does not necessarily involve active participation and feedback from team members.
Full Explanation
The nurse is planning to use a democratic leadership style when conducting an in-service that encourages active member participation and feedback about decreasing nosocomial infections on the unit. A democratic leader values the input and opinions of team members and encourages participation and collaboration in decision-making. By encouraging active participation and feedback from team members, the nurse is demonstrating a democratic approach to leadership.
The other options are not the leadership style that the nurse plans to use in this situation. A laissez-faire leader [b] takes a hands-on approach and allows team members to make their own decisions without providing guidance or direction. An autocratic leader [c] makes decisions unilaterally without seeking input or feedback from team members. An open-door leader [d] maintains an open-door policy and is accessible to team members, but this does not necessarily involve active participation and feedback from team members.
A nurse is assigning care to an assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP?
A. Educating a client on the use of a blood glucose monitor.
involves patient education, which is typically the responsibility of a licensed nurse.
B. Interpreting a client's vital signs.
involves assessing the client's health status, which is also typically the responsibility of a licensed nurse.
C. Performing a central line dressing change for a client.
is a complex task that requires specialized knowledge and skills.
D. Providing postmortem care for a client who has died.
Assistive personnel (AP), also known as unlicensed assistive personnel (UAP), can perform tasks such as assisting with activities of daily living, hygiene, and nutrition, as well as those tasks that support professional nursing assessments ². Providing postmortem care for a client who has died [d] is a task that can be delegated to an AP.
Full Explanation
Assistive personnel (AP), also known as unlicensed assistive personnel (UAP), can perform tasks such as assisting with activities of daily living, hygiene, and nutrition, as well as those tasks that support professional nursing assessments ². Providing postmortem care for a client who has died [d] is a task that can be delegated to an AP.
The other options are not tasks that should be delegated to an AP. Educating a client on the use of a blood glucose monitor [a] involves patient education, which is typically the responsibility of a licensed nurse.
Interpreting a client's vital signs [b] involves assessing the client's health status, which is also typically the responsibility of a licensed nurse. Performing a central line dressing change for a client [c] is a complex task that requires specialized knowledge and skills.
A nurse is working with two assistive personnel (AP). The nurse notes that one of the APs has been taking long breaks and making personal phone calls. Which of the following statements should the nurse make to resolve this conflict?
A. "Several staff members have commented that you don't do your fair share of the work."
B. "You have been very inconsiderate of others by not completing your share of the work."
C. "If you don't do your share of the work, I will have to inform the nurse manager."
D. "I need to talk to you about unit expectations regarding the timely completion of tasks."
The nurse should make the statement "I need to talk to you about unit expectations regarding timely completion of tasks" to resolve the conflict with the AP who has been taking long breaks and making personal phone calls. This statement is assertive and focuses on the issue at hand without blaming or attacking the AP. It also opens up a dialogue between the nurse and the AP to discuss the issue and find a resolution.
Full Explanation
The nurse should make the statement "I need to talk to you about unit expectations regarding timely completion of tasks" to resolve the conflict with the AP who has been taking long breaks and making personal phone calls. This statement is assertive and focuses on the issue at hand without blaming or attacking the AP. It also opens up a dialogue between the nurse and the AP to discuss the issue and find a resolution.
The other statements are not effective in resolving the conflict. Statements such as "Several staff members have commented that you don't do your fair share of the work" [a] and "You have been very inconsiderate of others by not completing your share of the work" [b] are accusatory and may make the AP defensive.
Threatening to inform the nurse manager [c] may also escalate the conflict and is not a constructive way to address the issue.