A charge nurse is anticipating the admission of four clients and planning their room assignments. Which of the following clients should the nurse assign to the room closest to the nurses' station?
A client who reports a severe migraine headache
A client who has a suspected diagnosis of tuberculosis (TB)
A client who sustained a head injury and is having periods of confusion
A client who has a history of atrial fibrillation and is on continuous ECG monitoring.
The Correct Answer is C
A. While a severe migraine headache is certainly uncomfortable and may require medication and observation, it does not typically necessitate constant monitoring. The client might benefit from a quieter room and can often be managed effectively with scheduled visits by nursing staff. Therefore, this client does not necessarily need to be closest to the nurses' station.
B. A client with a suspected diagnosis of TB should be placed in a negative-pressure isolation room to prevent the spread of airborne pathogens. The proximity to the nurses' station is less critical for infection control purposes. Proper isolation procedures and equipment are more important for managing TB.
C. A client with a head injury and periods of confusion is at risk for complications such as falls, disorientation, or worsening of their condition. This client requires close monitoring to ensure their safety and to promptly address any changes in their condition. Assigning this client to a room closest to the nurses' station ensures that the staff can frequently observe and quickly respond to any potential issues.
D. A client on continuous ECG monitoring requires regular assessment of their heart rhythm and immediate intervention if there are any abnormalities. While close monitoring is needed, this client’s condition is managed with electronic equipment that can alert staff to significant changes, so proximity to the nurses' station is less critical compared to more acute or unpredictable conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. De-escalation techniques are focused on managing agitated or aggressive behavior, not opioid use.
B. Hallucinations are often related to underlying medical or psychiatric conditions and require specific treatments. De-escalation techniques may help manage agitated behaviors associated with hallucinations but won't directly decrease them.
C. While de-escalation techniques often involve improved communication, it's a means to an end rather than a primary benefit.
D. This is the primary benefit of de-escalation techniques. By effectively calming agitated individuals, the need for physical restraints can be minimized, promoting patient safety and dignity.
Correct Answer is A
Explanation
A. A bureaucratic leader strictly enforces rules and procedures to maintain compliance and ensure consistency within the organization. This leadership style emphasizes adherence to established policies, regulations, and guidelines. Bureaucratic leaders often focus on following protocols and standard operating procedures, ensuring that every task is completed according to set rules.
B. A laissez-faire leader adopts a hands-off approach, allowing team members to make decisions and manage their own work with minimal interference. This style provides autonomy to team members and does not emphasize strict rule enforcement or close supervision.
C. A situational leader adapts their leadership style based on the needs of the team and the specific circumstances they face. This approach is flexible and responsive, adjusting leadership methods to the situation at hand. While situational leaders may enforce rules when necessary, their primary focus is on adapting their style to fit the context and the needs of the team rather than strictly enforcing rules.
D. A transformational leader focuses on inspiring and motivating team members to achieve their best and to embrace change and innovation. This style is characterized by a focus on vision, inspiration, and fostering a positive work environment.
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