A charge nurse is receiving change-of-shift report. Which of the following situations should the charge nurse address first?

Two staff members have called to say they will be absent.

Transport assistance is unavailable to take a client to occupational therapy.

The emergency department nurse is waiting to give report on a new admission

A nurse on the previous shift wrote an incident report about a medication error.

Answer and Explanation

The Correct Answer is C

A.   Staffing issues are important as they can affect the workload and safety of the unit. However, the immediate concern is usually related to direct patient care. This situation should be addressed promptly to ensure coverage and proper delegation of tasks, but it is not the most urgent concern compared to issues directly affecting patient safety or emergency situations.
B.   While this issue affects the logistical aspects of patient care, it is less critical compared to urgent patient care needs or emergencies. Arranging alternative transport solutions or rescheduling the therapy session should be addressed, but it is not as immediate as other concerns.
C.   This situation should be addressed first because timely handoff of patient information is crucial for continuity of care. The new admission could require immediate attention, and a delay in receiving the report could impact patient care.
D.   While an incident report about a medication error is significant and should be reviewed and addressed, it does not require immediate action in the same way that ensuring patient care continuity does. The charge nurse should review the incident report and follow up as necessary, but it is not as urgent as the need to receive a report on a new admission from the emergency department.

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Correct Answer is A

Explanation

A. A social worker is highly relevant in the care of a child with ODD. Social workers can provide support in various ways, including counseling for the child and family, facilitating family therapy, and helping to manage and improve social interactions and relationships. They also assist with connecting families to community resources and support services.
B. Physical therapists focus on improving physical function and mobility through exercises and physical interventions. While physical therapists are crucial for managing physical impairments or developmental delays, they are not usually involved in treating behavioral disorders like ODD.
C. Occupational therapists work on helping individuals develop, recover, or maintain daily living and work skills. While they might be involved if there are specific functional impairments or difficulties with activities of daily living, they are not the primary professionals for managing behavioral issues related to ODD.
D. Speech pathologists specialize in diagnosing and treating communication disorders, including speech, language, and swallowing issues. For a child with ODD, unless there are co-occurring speech or language problems, a speech pathologist would not be the primary specialist needed.

A. Plan to administer an antiviral medication to the client. B. Wear an N95 respirator mask while caring for the client. C. Prepare to administer antibiotics to the client. D. Place a surgical mask on the client during transfer to the unit.

Correct Answer is C

Explanation

A. Cutaneous anthrax is caused by a bacterium, not a virus, so antiviral medications are not effective for treating it. The treatment for cutaneous anthrax involves antibiotics, not antiviral drugs. Thus, planning to administer antiviral medication is not appropriate for this condition.
B. While N95 respirators are used for airborne precautions, cutaneous anthrax is not typically transmitted via airborne routes. The primary mode of transmission is through direct contact with infected animal products or contaminated materials. Standard precautions are usually sufficient for cutaneous anthrax, but in certain settings, additional precautions might be considered based on specific facility protocols.
C. The treatment of cutaneous anthrax involves the administration of antibiotics. The recommended antibiotics include ciprofloxacin, doxycycline, or a combination of these. Early and effective antibiotic treatment is crucial to manage the infection and prevent complications.
D. A surgical mask is typically used to prevent the spread of respiratory droplets and is more relevant for infections that are spread through the respiratory route. Since cutaneous anthrax is not transmitted through respiratory droplets, placing a surgical mask on the client during transfer is not required.

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A charge nurse is receiving change-of-shift report. Which of the following situations should the charge nurse address first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the plan of care for a child who has oppositional defiant disorder. Which of the following members of the interprofessional health care team should the nurse plan to consult?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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