Which of the following tasks could be delegated to unlicensed assistive personnel?
A) an initial assessment of a patient
B) determination of a nursing diagnosis
C) evaluation of patient progress with the nursing care plan
D) assisting patients with hygiene
D
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A client is diagnosed with acute poisoning of acetylsalicylic acid (aspirin). The nurse knows that ion trapping will be the therapy of choice for this medication and prepares to:
1. Insert a nasogastric tube for lavage. 2. Provide supportive therapy. 3. Hang a bag of 100 mL normal saline solution with 100 units regular insulin adjusted to the client's rising blood glucose levels. 4. Administer sodium bicarbonate and furosemide (Lasix) intravenously.
An older adult male pt calls the clinic because he has "not passed any urine all day long". what is the nurse's best response?
a. try drinking several large glasses of water and waiting a few more hours b. if you develop flank pain or fever, then you should probably come in c. You could have an obstruction, so you should come in to be checked out d. I am sorry, but I really can't comment about your problems over the phone
A patient is recovering from a biopsy that sampled a small section of dermis and subcutaneous fat. For which type of biopsy should the nurse plan care for this patient?
A. Excisional B. Incisional C. Shave D. Punch
A school-age child is admitted to the hospital with a fractured femur and head trauma. The child was not wearing a helmet while riding a new bicycle on the highway, and collided with a car. Which nursing diagnoses should the nurse include in the plan of care with regard to the child's parents? Select all that apply
1. Compromised Family Coping related to the critical injury of the child 2. Parental Role Conflict related to child's injuries and pediatric intensive care unit (PICU) policies 3. Guilt related to lack of child supervision and safety precautions 4. Knowledge Deficit related to home care of fractured femur 5. Anger related to feelings of helplessness