Which action may the nurse safely delegate to an assistive personnel (AP) when caring for a client who has urinary incontinence?

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Fundamentals of Nursing Vital Signs Practice Questions Questions

Question 1 of 5

Which action may the nurse safely delegate to an assistive personnel (AP) when caring for a client who has urinary incontinence?

Correct Answer: D

Rationale: Assisting to the bathroom (D) is within AP scope. Instructing (A) assessing skin (B) and monitoring electrolytes (C) require nursing judgment.

Question 2 of 5

If you are looking for trends in a patient's vital signs

Correct Answer: B

Rationale: The TPR (temperature pulse respiration) chart tracks vital sign trends over time. Admission sheet (A) and assessment (C) provide baseline data and activity flow sheet (D) tracks activities not vital signs.

Question 3 of 5

What would the nurse instruct the nursing assistive personnel (NAP) to do before making an unoccupied bed if the mattress is soiled?

Correct Answer: B

Rationale: Wiping with an antiseptic solution and drying the mattress (B) cleans and disinfects it, preventing infection. Hot water (A) may damage the mattress, flipping (C) doesn’t clean it, and covering it (D) hides the problem.

Question 4 of 5

The nurse is preparing to change the soiled linen of a patient's unoccupied bed. Which precaution minimizes the risk of transmitting microorganisms?

Correct Answer: A

Rationale: Hand hygiene and clean gloves (A) are the most effective initial precautions to prevent microorganism transmission. Placing fresh linen (B) is logistical, pillowcases (C) are optional, and rolling dirty sides in (D) is secondary to gloves.

Question 5 of 5

A rehabilitation nurse in a skilled nursing facility (SNF) cares for a client who has generalized weakness and needs assistance with activities of daily living. Which exercise would the nurse implement?

Correct Answer: A

Rationale: preventing contractures. Active (B) resistive (C)and aerobic (D) require more strength than the client has.

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