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Questions 157

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Question 1 of 5

The nurse and the unlicensed assistive personnel (UAP) are caring for clients on a medical floor. Which nursing task could be delegated to the UAP?

Correct Answer: C

Rationale: Routine vital sign collection is within UAP scope, unlike post-medication BP, HCP notification, or lab discussions.

Question 2 of 5

The client diagnosed with neurogenic diabetes insipidus (DI) asks the nurse, 'What is wrong with me? Why do I urinate so much?' Which statement by the nurse is most appropriate?

Correct Answer: B

Rationale: Neurogenic DI results from ADH deficiency due to pituitary dysfunction, causing polyuria.

Question 3 of 5

The client is performing breast self-examination (BSE) by the American Cancer Society's recommended steps and has completed palpating the breast. Which step is next when completing the BSE?

Correct Answer: A

Rationale: After palpation, visual inspection in a mirror detects skin changes, the next ACS BSE step.

Question 4 of 5

The elderly female client of Mexican heritage is upset and tells the nurse the unlicensed assistive personnel (UAP) complimented her grandchild's hair. Which intervention should the nurse implement?

Correct Answer: D

Rationale: In Mexican culture, complimenting a child may be linked to 'mal de ojo' (evil eye), causing distress. Educating the UAP about this belief prevents further upset. Asking why, ignoring, or notifying a psychologist does not address cultural sensitivity.

Question 5 of 5

The client diagnosed with peptic ulcer disease is being discharged. Which nursing task can be delegated to a trained unlicensed assistive personnel (UAP)?

Correct Answer: C

Rationale: Cleaning the room is within UAP scope, unlike teaching, IV removal, or lab monitoring.

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