The measurement and documentation of vital signs is expected for clients in a long term facility. Which staff type would it be a priority to delegate these tasks to?

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Question 1 of 5

The measurement and documentation of vital signs is expected for clients in a long term facility. Which staff type would it be a priority to delegate these tasks to?

Correct Answer: C

Rationale: Unlicensed assistive personnel (UAP) is the priority for delegating vital signs in a long-term facility. Routine tasks fit UAP scope, freeing RNs and PNs for complex care. Volunteers lack training. C optimizes efficiency, making it the best choice.

Question 2 of 5

When screening children for scoliosis, at what time of development would the nurse expect early signs to appear?

Correct Answer: D

Rationale: Preadolescent growth spurt is when scoliosis signs appear. Rapid growth (ages 9-15) reveals spinal curvature, per screening norms. Prenatal , infancy , or weight-bearing don't correlate. D aligns with development, making it the expected time.

Question 3 of 5

A client being treated for hypertension returns to the community clinic for follow up. The client says, 'I know these pills are important, but I just can't take these water pills anymore. I drive a truck for a living, and I can't be stopping every 20 minutes to go to the bathroom.' Which of these is the best nursing diagnosis?

Correct Answer: A

Rationale: Noncompliance related to side effects is the best diagnosis. Diuretic-induced urination disrupts work, causing refusal, per client statement. Knowledge deficit , coping , or maintenance don't fit. A identifies behavior and cause, making it accurate.

Question 4 of 5

When assessing a client, it is important for the nurse to be informed about cultural issues related to the client's background because

Correct Answer: A

Rationale: Normal behavior may be mislabeled highlights cultural importance. Misunderstanding norms risks misdiagnosis, per cultural competence. Conventional wisdom , personal values , or stages skew judgment. A ensures accurate care, making it key.

Question 5 of 5

A nurse is working with one licensed practical nurse (PN), a student nurse and an unlicensed assistive personnel (UAP). Which newly admitted clients would be most appropriate to assign to the UAP?

Correct Answer: C

Rationale: An adolescent with dehydration and anorexia suits a UAP. Basic care (e.g., fluids) fits scope, unlike depression , OCD , or withdrawal , needing RN skill. C ensures safe assignment.

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