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 C
Explanation
A. This task is generally appropriate for an assistive personnel (AP) if it is within their scope of practice and if proper training has been provided. Glucometer monitoring is a routine task that APs can often perform, assuming they are trained in using the glucometer and understanding the importance of accurate readings.
B. Assigning two APs to ambulate all clients might be seen as overdelegation if the task requires more clinical judgment or if there are other tasks that need to be managed concurrently. Ambulating clients can sometimes be complex depending on their condition, and it’s essential to ensure that APs are appropriately trained and that the workload is balanced.
C. Assigning a new graduate nurse to perform a wet-to-dry dressing change could be considered overdelegation if the task requires advanced skills and experience that the new graduate might not yet possess. Wet-to-dry dressing changes can be complex and require a certain level of expertise to ensure proper technique and patient safety.
D. This task is typically appropriate for an RN with the necessary competencies and experience. A central line dressing change requires specific skills and knowledge, and delegating this task to the most competent RN ensures that it is performed correctly and safely. This is not considered overdelegation because it matches the task to the skill level of the RN.
Correct Answer is B
Explanation
A. Professional identity refers to how an individual sees themselves within their profession and how they align with the values, ethics, and roles associated with their field. It is more directly related to engagement and commitment rather than identity formation.
B. Professional commitment involves dedication to the profession and a willingness to advance the field, adhere to ethical standards, and engage in ongoing learning and development. Joining a professional organization is a strong example of professional commitment, as it demonstrates a nurse’s dedication to staying informed, participating in professional development, and contributing to the advancement of their profession.
C. Risk management involves identifying, assessing, and mitigating risks to ensure safety and compliance within the healthcare setting. While professional organizations may provide resources and support related to risk management, joining such an organization is not primarily about managing risk.
D. Quality improvement focuses on enhancing patient care and healthcare processes through systematic efforts to improve outcomes and efficiency. Joining a professional organization can support quality improvement by providing access to best practices and research, but the primary purpose of membership is not specifically to engage in quality improvement activities.
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