An RN is caring for a client with end-stage liver disease that has resulted in ascites. Which action does the RN delegate to unlicensed assistive personnel (UAP)?
A. Assessing skin integrity and abdominal distention
B. Drawing blood from a central venous line for electrolyte studies
C. Evaluating laboratory study results for the presence of hypokalemia
D. Placing the client in a semi-Fowler's position
Ans: D. Placing the client in a semi-Fowler's position
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a. Diabetes b. Hyperglycemia c. Gastroesophageal reflux disease (GERD) d. Diverticulitis
An infant was born 10 weeks premature and requires mechanical ventilation. Two months later the infant presents with hypoxemia and hypercapnia. Which of the following is the most likely diagnosis the nurse will observe documented on the chart?
a. Respiratory distress syndrome of the newborn b. Bronchopulmonary dysplasia (BPD) c. Bronchiolitis d. Pneumonia
Which of the following conditions is a potentially fatal condition that is associated with the use of antipsychotic drugs and is characterized by hyperthermia, muscular rigidity, catatonia, and autonomic nervous system instability?
A. Parkinson's disease B. Neuroleptic malignant syndrome C. Dystonic reactions D. Akathisia
MC You proceed to catheterize Mrs. Franks. After placing the sterile absorbent pad under the client, what is the next action?
A. Place outer white wrap under the client's buttocks. B. Put on sterile gloves. C. Open sterile catheter package. D. Pour antiseptic solution over cotton balls.