The nurse assigns client care to a nursing assistant. Which wound care tasks should the nurse assign to the nursing assistant?
1. Apply the hydrocolloid dressing.
2. Assess dimensions of the wound.
3. Report visible drainage on dressing.
4. Change first postoperative dressing.
3
3. The nurse assigns reporting visible drainage on the dressing to the nursing assistant because the assistant is trained to perform the wound care task.
1, 2, and 4. The remaining wound care tasks require critical thinking and nursing judgment, assessment, and evaluation skills that the nurse cannot delegate because the nurse owes these duties to the client. In addition, the nurse avoids delegating the first postoperative dressing change because it is a sterile procedure requiring the same nursing skills and judgment.
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The mother of a 4-year-old child reports concerns about how to completely rid her home of lice. Which response by the patient indicates the need for further instruction?
a. "I will need to treat my bedding and fur-niture." b. "A re-treatment will be needed about a week after the first one." c. "I will need to discard my child's stuffed animals and dolls." d. "I should avoid using Lindane."
The provider wants impacted cerumen removed from the client's ear by curettage. Which should the nurse implement?
1. Apply negative pressure to the ear canal. 2. Assist provider with a bedside procedure. 3. Clean the ear canal with a soft cotton swab. 4. Instill ceruminolytic solution into ear canal.
Surgery has informed a nurse that the patient returning to the floor after spinal surgery has an opioid epidural catheter for pain management
The nurse should prepare to monitor the patient for which side effects of an opioid epidural catheter? (Select all that apply.) a. Urinary frequency b. Nausea c. Itching d. Respiratory depression
You receive a shipment of perishables. Hours after putting the items away, you notice your produce cooler to be 41 degrees F., dairy & egg cooler to be 41 degrees F., and freezer to be -10 degrees F. You are concerned with the temperature of which of these?
a. produce cooler b. freezer c. none are of concern d. dairy cooler