A charge nurse is supervising the care of a new nurse. Which action by a new nurse indicates the charge nurse needs to intervene?

Making a clinical decision in the patient's best interest.

Making a clinical decision based on previous shift assessments.

Making an ethical clinical decision

Making an informed clinical decision

Answer and Explanation

The Correct Answer is B

A. Making a clinical decision in the patient's best interest: Making decisions in the patient’s best interest is an essential part of nursing practice and demonstrates good clinical judgment.

B. Making a clinical decision based on previous shift assessments. Nursing assessments should be conducted for each shift, as a patient’s condition can change rapidly. Relying on previous assessments without reassessing can lead to missed changes in the patient’s status, potentially causing harm.

C. Making an ethical clinical decision. Ethical decision-making is an integral part of nursing practice and aligns with professional standards. There is no need for intervention if the decision is ethical.

D. Making an informed clinical decision. Informed clinical decision-making is based on current patient data, clinical guidelines, and critical thinking. This is a correct approach to nursing care and does not require intervention.

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Correct Answer is A

Explanation

A. Remove all metal necklaces. Metal can obscure the x-ray image, so all metal jewelry, piercings, and clothing with metal components should be removed.

B. Take several shallow breaths during the procedure. Patients should take a deep breath and hold it during the x-ray to expand the lungs fully for clearer imaging.

C. Do not eat or drink anything the morning of the test. Fasting is not needed for a chest x-ray; it is typically required for procedures like CT scans with contrast or abdominal ultrasounds.

D. Expect minor discomfort after the procedure. A chest x-ray is non-invasive and painless. There is no expected discomfort afterward.

A. "Have you had any changes in your diet?" B. "Does your skin condition keep you awake at night?" C. “How does your skin condition make you feel?" D. "How do you handle stress?”

Correct Answer is A

Explanation

A. "Have you had any changes in your diet?" While diet can impact skin health, this question is not the most relevant for an immediate skin assessment. More direct questions about onset, symptoms, and exacerbating factors should be prioritized.

B. "Does your skin condition keep you awake at night?" Pruritus (itching), pain, or discomfort from a skin condition can disrupt sleep. Asking this helps assess the impact on daily life and quality of sleep.

C. "How does your skin condition make you feel?" Skin conditions can affect self-esteem and mental health. This question is therapeutic and appropriate to assess emotional impact.

D. "How do you handle stress?" Many skin conditions, such as eczema and psoriasis, worsen with stress. This question is relevant for identifying triggers.

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A charge nurse is supervising the care of a new nurse. Which action by a new nurse indicates the charge nurse needs to intervene?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

As part of an annual physical examination, a nurse is preparing a client to undergo a chest x-ray. Which of the following instructions should the nurse give the client prior to the procedure?

Correct Answer is A

Explanation

A nurse is observing a newly licensed nurse who is performing a focused skin assessment on a client who reports a skin condition. Which of the following questions by the newly licensed nurse requires intervention?

Correct Answer is A

Explanation

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