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A nurse on a medical-surgical unit is assigning tasks to assistive personnel (AP). Which of the...

A nurse on a medical-surgical unit is assigning tasks to assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP? a. Changing the appliance on a new colostomy b. Demonstrating how to use an incentive spirometer c. Performing indwelling urinary catheter care d. Measuring the depth of a stage-3 pressure ulcer. A nurse is caring for a client who has terminal cancer. Which of the following actions should the nurse take to promote the client’s autonomy? a. Allow the client to choose treatment times. b. Provide privacy during client care procedures. c. Be honest with the client about the prognosis. d. Administer pain medication on a routine schedule. A nurse is collecting data from a client who is postoperative and received an opioid analgesic for pain. Which of the following findings should the nurse identify as an adverse effect of this medication? a. Urinary retention b. Tachypnea c. Hypertension d. Diarrhea

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Answer #1

Answer 1:( c) Performing indwelling urinary catheter care

( Because AP ( Assistive personal) work is to groom, bath and take care of the hygiene of the patient.)

Answer 2: ( a.) Allow the client to choose treatment times.

(For the patient autonomy it is necessary for the patient to take decision for himself about the treatment)

Answer:( a.) Urinary retention.

The urine retention is one of the adverse effects of the opioid analgesic.

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