A nurse is caring for a client who has dementia and urinary incontinence. Which nursing action is appropriate to delegate to a UAP/NAP?
A. Teaching the client to use the call bell when needing the bed pan
B. Offering the bed pan to the client every 2 hours
C. Obtaining a sterile urine sample for culture and sensitivity
D. Assessing the client for skin breakdown
ANS: B
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Which assessment finding would cause extubation to be delayed?
A mechanically ventilated child is being assessed for extubation. A. Alert and oriented with occasional confusion B. Evidence that prior pulmonary infection has resolved C. Peak inspiratory ventilator pressure of 14 cm H2O D. 3+ pitting pedal edema, 1-lb weight gain overnight
A client has a red spot over the sacrum that does not blanch when the nurse applies pressure. The nurse would document this stage of pressure ulcer formation as being:
a. Stage II. c. Stage IV. b. Stage I. d. Stage III.
The nursing assistant can be an effective member of the interdisciplinary team by
A. taking assignments directly from the physician. B. avoiding the chain of command whenever possible. C. appreciating each person's contribution to the team. D. helping patients with personal problems and concerns.
The nurse is conducting medication education about the difference between potency and efficacy to a group of patients. The nurse correctly determines that learning has occurred when the patients makes which response?
1. "The best drug for us is the one with the highest potency." 2. "The best drug for us is the one with the greatest efficacy." 3. "Drugs with the greatest efficacy will produce the least side effects." 4. "Low-potency drugs have efficacy and do not produce side effects."