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A charge nurse on a long-term care unit is working with an assistive personnel who states, "I am tired of all the changes on this unit. If things don't improve soon, I'm requesting a transfer." Which of the following responses should the charge nurse make?

"There has been too much complaining about these changes."

"Please, try to wait a little longer. Things will get better soon."

"So, you are upset about all of the recent changes on the unit?"

"Why don't you just file a formal complaint with Human Resources?"

Answer and Explanation

The Correct Answer is C

Rationale:

A. This response dismisses the concerns of the assistant personnel and is not supportive.

B. This response minimizes the assistant personnel's concerns and does not acknowledge their feelings.

C. This response acknowledges the assistant personnel's concerns and opens the door for further discussion.

D. This response does not address the assistant personnel's concerns and suggests a formal complaint as the only solution. It is not supportive or collaborative.

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Correct Answer is C

Explanation

Rationale:

A. Postponing the procedure could put the client at risk if the appendicitis worsens.

B. Obtaining consent from the client may not be possible due to the client's developmental disability.

C. Preparing the client for surgery with implied consent is appropriate when the client is unable to provide consent and the procedure is urgent.

D. Requesting that the provider sign the consent form is not appropriate because the provider cannot provide consent on behalf of the client.

A. Small, raised vesicles over the body B. Rhinitis C. Itching of the skin D. Severe wheezing

Correct Answer is D

Explanation

Rationale:

A. Small, raised vesicles over the body may indicate an allergic reaction but are not typically associated with IV antibiotics.

B. Rhinitis may indicate an allergic reaction but is not typically associated with IV antibiotics.

C. Itching of the skin may indicate an allergic reaction but is not typically associated with IV antibiotics.

D. Severe wheezing may indicate an allergic reaction or anaphylaxis and should be reported immediately.

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A charge nurse on a long-term care unit is working with an assistive personnel who states, "I am tired of all the changes on this unit. If things don't improve soon, I'm requesting a transfer." Which of the following responses should the charge nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an adult client who has a developmental disability. The client requires an emergency appendectomy, and the staff cannot reach the appointed guardian. Which of the following is an appropriate action for the nurse to take?

Correct Answer is C

Explanation

A nurse is assisting in the care of a client who is receiving newly prescribed IV antibiotics. Which of the following findings should the nurse report immediately?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client about the use of a quad cane. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is observing an assistive personnel (AP) provide postmortem care for a client prior to visitation by their loved ones. Which of the following actions by the AP requires intervention by the nurse?

A nurse is planning to obtain a client's oxygen saturation. Which of the following might influence the result of this test?

A nurse is preparing to obtain a capillary blood specimen from a client. Which of the following actions should the nurse take? (Select all that apply)

A nurse is collecting data from an older adult client who lives alone. Which of the following findings should the nurse identify as the priority?

A nurse in a provider's office is collecting data from an older adult client. The client states that he is having difficulty sleeping. Which of the following strategies should the nurse recommend to promote sleep?

A charge nurse on a long-term care unit is working with an assistive personnel who states, "I am tired of all the changes on this unit. If things don't improve soon, I'm requesting a transfer." Which of the following responses should the charge nurse make?

A nurse is caring for an adult client who has acute lymphocytic leukemia. The client is refusing blood products. Which of the following responses should the nurse make?