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.

Answer and Explanation

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.

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Correct Answer is ["A","B","D"]

Explanation

A. One of the core goals of the Magnet Recognition Program is to recognize and identify healthcare organizations that provide excellent nursing care and achieve superior patient outcomes. This aligns
with the program’s emphasis on distinguishing organizations that exhibit high standards of practice and
innovation in nursing care.
B. The Magnet Recognition Program encourages organizations to share and implement best practices in nursing. This involves promoting evidence-based practices and creating an environment where innovative approaches to care are developed and shared. Thus, disseminating best practices aligns well with the goals of Magnet recognition.

C. While decreasing the length of hospital stays can be a positive outcome of high-quality care, it is not a primary goal of the Magnet Recognition Program. The focus of Magnet is more on improving the overall quality of nursing care and patient outcomes rather than specifically targeting length of stay metrics.
D. Promoting high standards of quality in healthcare settings is a fundamental goal of the Magnet Recognition Program. Magnet-recognized organizations are known for their commitment to delivering exceptional care and improving patient outcomes, which inherently promotes overall quality in healthcare.
E. Prioritizing patient or client needs is a critical component of providing high-quality nursing care. While Magnet recognizes organizations that excel in this area, it is more about the broader commitment to nursing excellence and patient-centered care rather than just the prioritization of client needs alone.

A. A room that is within view of the nurses' station B. A room in the ICU C. A room with air exhaust directly to the outdoor environment D. A room with another nonsurgical client

Correct Answer is C

Explanation

A. While placing the client in a room within view of the nurses' station might allow for closer monitoring, it does not address the specific infection control requirements needed for a patient with active TB. TB is an airborne pathogen, so simply placing the room near the nurses' station does not prevent the spread of TB germs to other patients or staff.
B. This option is not specifically appropriate for TB unless the client requires intensive monitoring or care that cannot be provided on a general medical-surgical unit. The ICU is not designed specifically for airborne isolation and does not offer the specialized ventilation required for managing TB patients.
C. For a patient with active TB, the room should have specialized ventilation to prevent the spread of airborne pathogens. A room with air exhaust directly to the outdoor environment is ideal for TB patients as it ensures that the airborne particles are effectively removed from the healthcare environment, minimizing the risk of transmission to others.
D. Tuberculosis is an airborne infection, so placing a TB patient in a room with another client, regardless of whether they are nonsurgical, poses a risk of transmission. TB requires a single-patient room with proper ventilation to prevent the spread of the disease to other patients and staff.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","D"]

Explanation

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Correct Answer is C

Explanation

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