NUR 2050 Skills (NCLEX Questions and answers 100% verified)

A patient with chronic obstructive pulmonary disease (COPD). Which intervention for airway management should you delegate to a nursing assistant? a. Assisting the patient to sit up on the side of the bed b. Instructing the patient to cough effectively c. Teaching the patient to use incentive spirometry d. Auscultation of breath sounds every 4 hours - Assisting the patient to sit up on the side of the bed A nurse is preparing to perform a general survey of a client who was admitted to the hospital a few hours ago. Which components of the general survey may be delegated to the unlicensed assistive personnel (UAP)? Select all that apply. 1. Assessing the skin surfaces 2. Observing the client's 3. Measuring the client's height and weight 4. Assessing the client's general appearance 5. Monitoring oral intake and urinary output - -Measuring the client's height and weight -Monitoring oral intake and urinary output The nurse is planning client client assignments for the day. Which clients can be safely assigned to unlicensed assistive personnel (UAP)? Select all that apply. 1. The 60-year-old client who is receiving a new chemotherapy drug needing education 2. The 48-year-old client newly diagnosed with hyperthyroidism who is in need of teaching regarding medication therapy 3. The 50-year old, 72- hour postoperative client who is recovering from a total knee replacement and needs assistance with bathing and dressing 4. The 48-hour postoperative client who is recovering from an open reduction and fixation of the right forearm and needs assistance with feeding 5. The newly admitted client with shortness of breath, circumoral cyanosis, and a respiratory rate of 30 breaths per minute who requires an admission assessment - The nurse is assigned to care for a patient with pneumonia. Which task can be delegated to the unlicensed assistive personnel by the RN? a. Teaching a patient how to use the inhaler b. Listening to the patient's lungs c. Checking the results of the patient's blood work d. Counting the patient's respiratory rate - D. The client asks the nurse, "Is it really possible to lead a normal life with an ileostomy?" Which action by the nurse would be the most effective to address this question? a. Have the client talk with a member of the clergy about these concerns b. Tell the client to worry about those concerns after surgery c. Arrange for a person with an ostomy to visit the client perioperatively d. Notify the surgeon of the client's question - C. The nurse finds the client who has an ileostomy crying. The client explains to the nurse, "I'm upset because I know I won't be able to have children now that I have an ileostomy." Which response by the nurse is best? a. Many women with ileostomies decide to adopt. Perhaps you could consider that. b. Having an ileostomy doesn't necessarily mean that you can't bear children. Let's talk about your concerns. c. I can understand your reasons for being upset. Having children must be important to you. d. I'm sure you will adjust to this situation with time. Try not to be too upset. - B