Which nursing action can the registered nurse (RN) delegate to unlicensed assistive personnel (UAP) who are assisting with the care of a patient with scleroderma?
a. Monitor for difficulty in breathing.
b. Document the patient's oral intake.
c. Check finger strength and movement.
d. Apply capsaicin (Zostrix) cream to hands.
ANS: B
Monitoring and documenting patients' oral intake is included in UAP education and scope of practice. Assessments for changes in physical status and administration of medications require more education and scope of practice, and should be done by licensed nurses.
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Place in proper chronological order the steps in the process of growing as a result of failure. (Separate letters by a comma and space as follows: A, B, C, D, E, F, G.)
A. Consider one's failure as a learning experience. B. Give oneself permission to fail. C. Understand that failure is a necessary part of change. D. Discover opportunities that are created by failure.
What effect do androgens have on lymphocytes?
a. Suppression of B-cell responses and enhancement of T-cell responses b. Suppression of T-cell responses and enhancement of B-cell responses c. Suppression of B- and T-cell responses d. Enhancement of B- and T-cell responses
An older adult male patient reports an acute problem with urine retention. The nurse advises the patient to seek medical attention because permanent kidney damage can occur in what time frame?
a. In less than 6 hours b. In less than 48 hours c. Within several weeks d. Within several years
During the assessment of a person in crisis, the nurse should do which of the following first?
A) Keep the client focused on the problem and specific goals leading to its resolution. B) Help the client develop healthier long-term coping skills. C) Assess the client's support system including religious beliefs and spirituality. D) Determine whether psychiatric symptoms are related to a physical cause.