A 78-year-old client admitted to the hospital with chronic anemia caused by possible gastrointestinal bleeding has all of these activities included in the care plan. Which activity is best delegated to an experienced nursing assistant (NA)?

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Question 1 of 5

A 78-year-old client admitted to the hospital with chronic anemia caused by possible gastrointestinal bleeding has all of these activities included in the care plan. Which activity is best delegated to an experienced nursing assistant (NA)?

A. Use Hemoccult slides to obtain stool specimens. B. Have the client sign a colonoscopy consent form. C. Administer PEG-ES (GoLYTELY) bowel preparation. D. Check for allergies to contrast dye or shellfish.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A 67-year-old client who is receiving chemotherapy for lung cancer is admitted to the hospital with thrombocytopenia. While you are taking the admission history, the client makes these statements. Which statement is of most concern?

A. My bowel movements are soft and dark brown in color. B. I take one aspirin every morning because of my history of angina. C. My appetite has decreased since the chemotherapy started. D. I've noticed that I bruise more easily since the chemotherapy started.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

As home health nurse, you are taking an admission history for a client who has a deep vein thrombosis and is taking warfarin (Coumadin) 2 mg daily. Which statement by the client is the best indicator that additional teaching about warfarin may be needed?

A. I have started to eat more healthy foods like green salads and fruit. B. The doctor said that it is important to avoid becoming constipated. C. Coumadin makes me feel a little nauseated unless I take it with food. D. I will need to have some blood testing done once or twice a week.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A 22-year-old with stage I Hodgkin's disease is admitted to the oncology unit for radiation therapy. During the initial assessment, the client tells you, 'Sometimes I am afraid of dying.' Which response is most appropriate at this time?

A. Many individuals with this diagnosis have some fears. B. Perhaps you should ask the doctor about medication. C. Tell me a little bit more about your fear of dying. D. Most people with stage I Hodgkin's disease survive.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

A long-term-care client with chronic lymphocytic leukemia has a nursing diagnosis of Activity Intolerance related to weakness and anemia. Which of these nursing activities is most appropriate for you, as the charge nurse, to delegate to a nursing assistant?

A. Evaluate the client's response to normal activities of daily living. B. Check the client's blood pressure and pulse rate after ambulation. C. Determine which self-care activities the client can do independently. D. Assist the client in choosing a diet that will improve strength.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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