Question 1

The nurse delegates oral care of an unconscious client on supplemental oxygen to the UAP. Which action by the UAP requires the nurse to intervene?

Accepted Answer

A) Placing a bite block in the client's mouth. 
B) Applying petroleum-based moisturizer to the client's lips. 
C) Positioning the client in side-lying position with head of bed lowered. 
D) Using a separate moistened swab for the inside of each cheek. 
A) Placing a bite block in the client's mouth. 
B) Applying petroleum-based moisturizer to the client's lips. 
C) Positioning the client in side-lying position with head of bed lowered. 
D) Using a separate moistened swab for the inside of each cheek.

Question 2

The nurse is observing a UAP performing a bed bath for a client. Which action by the UAP requires the nurse to intervene?

Accepted Answer

A) Washing the client's arms from wrists to shoulders. 
B) Washing the client's eyes and face first before the rest of the body. 
C) Washing, rinsing, and drying the client's leg from thigh to ankle. 
D) Washing the client's back and then the perineum. 
A) Washing the client's arms from wrists to shoulders. 
B) Washing the client's eyes and face first before the rest of the body. 
C) Washing, rinsing, and drying the client's leg from thigh to ankle. 
D) Washing the client's back and then the perineum.

Question 3

The nurse determines some client care tasks can be delegated to the UAP. Which task should not be delegated?

Accepted Answer

A) Performing foot care for a client with diabetes. 
B) Changing an occupied bed for a client with multiple intravenous medications infusing. 
C) Performing a bath for a newborn with an unhealed umbilical cord. 
D) Oral care for an unconscious client. 
A) Performing foot care for a client with diabetes. 
B) Changing an occupied bed for a client with multiple intravenous medications infusing. 
C) Performing a bath for a newborn with an unhealed umbilical cord. 
D) Oral care for an unconscious client.

Question 4

The nurse prepares to administer an intermittent intravenous solution using a secondary administration set. Place the steps of assembling the secondary infusion in correct order.

Accepted Answer

A) Insert the secondary tubing needleless cannula into the distal primary tubing port located above the infusion pump. 
B) Hang the secondary container above the level of the primary bag. 
C) Attach the appropriate label to the secondary tubing. 
D) Lower medication bag to clear tubing and back-prime tubing. 
E) Close the clamp on the secondary infusion tubing and spike the medication infusion bag. 
A) Insert the secondary tubing needleless cannula into the distal primary tubing port located above the infusion pump. 
B) Hang the secondary container above the level of the primary bag. 
C) Attach the appropriate label to the secondary tubing. 
D) Lower medication bag to clear tubing and back-prime tubing. 
E) Close the clamp on the secondary infusion tubing and spike the medication infusion bag.

Exam 53: Caring Interventions

The nurse delegates oral care of an unconscious client on supplemental oxygen to the UAP. Which action by the UAP requires the nurse to intervene?

The nurse is observing a UAP performing a bed bath for a client. Which action by the UAP requires the nurse to intervene?

The nurse determines some client care tasks can be delegated to the UAP. Which task should not be delegated?

The nurse prepares to administer an intermittent intravenous solution using a secondary administration set. Place the steps of assembling the secondary infusion in correct order.

Acid-Base Balance

Cellular Regulation

Comfort

Digestion

Elimination

Fluids and Electrolytes

Health Wellness and Illness

Immunity

Infection

Inflammation

Intracranial Regulation

Metabolism

Mobility

Nutrition

Oxygenation

Perfusion

Perioperative Care

Sensory Perception

Sexuality

Thermoregulation

Tissue Integrity

Addiction

Cognition

Culture and Diversity

Development

Family

Grief and Loss

Mood and Effect

Self

Spirituality

Stress and Coping

Trauma

The Concept of Reproduction

Assessment

Caring Interventions

Clinical Decision Making

Collaboration

Communication

Managing Care

Professional Behaviors

Teaching and Learning

Accountability

Advocacy

Ethics

Evidence-Based Practice

Healthcare Systems

Health Policy

Informatics

Legal Issues

Quality Improvement

Safety