The nurse caring for several clients could safely delegate which task to the unlicensed assistive personnel (UAP)?
1. Initial application of the continuous positive motion (CPM) device to the postoperative client
2. Assessment of client's tolerance for passive range of motion
3. Documentation of joint improvement resulting from active range of motion
4. Performance of passive range of motion to client experiencing a CVA 2 weeks ago
Correct Answer: 4
The UAP can safely perform passive range of motion on a stable client if educated in the skill. Initial application of the CPM, and assessing a client's tolerance or progress, must be performed by the nurse.
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A mother who is bottle-feeding her newborn requests to be discharged 24 hours post-delivery, because the mother also has twin two-year-olds at home. The nurse should schedule the follow-up visit for the newborn on which of these days?
1. Within 48 hours of discharge 2. When the infant is one month old 3. Within two weeks of discharge 4. Within one week of discharge
The nurse is caring for a patient with a suspected cyanide exposure. The patient is anxious and hyperventilating. What is the nursing priority of care?
A) Give antiseizure medications. B) Send toxicology screen. C) Give cyanide antidote. D) Obtain history of exposure.
Which of the following policies in the long-term care facility will promote effective sleep for clients?
A) After they have eaten the evening meal, clients should be assisted to bed to allow ample time for sleep. B) Nursing staff should avoid waking clients from deep sleep to provide routine care. C) Discourage individual client's nighttime rituals because this will limit time for sleep. D) Noisy clients who disrupt the quiet of the overall sleeping environment should be coaxed or sedated into quiet sleep.
A nursing instructor asked his nursing students to discuss their experiences with charting assessment data. Which comment by the student indicates the need for further teaching?
1) "I find it difficult to avoid using phrases like ‘the patient tolerated the procedure well.'" 2) "It's confusing to have to remember which abbreviations this hospital allows." 3) "I need to work on charting assessments and interventions right after they are done." 4) "My patient was really quiet and didn't say much, so I charted that he acted depressed."