A charge nurse on an acute care unit is planning care for a client. Which of the following actions should the nurse take to promote the client's continuity of care?

Plan to assign a different nurse to the client each shift.

Start discharge planning on the day of admission.

Request that the client complete a satisfaction survey at discharge.

Limit the number of interdisciplinary team members managing the client's care.

Answer and Explanation

The Correct Answer is B

A. Plan to assign a different nurse to the client each shift. Assigning different nurses each shift disrupts continuity of care. Whenever possible, consistent nursing assignments improve client outcomes.
B. Start discharge planning on the day of admission. Discharge planning should begin upon admission to ensure a smooth transition of care, reduce hospital readmissions, and promote better long-term outcomes.
C. Request that the client complete a satisfaction survey at discharge. While client feedback is valuable, it does not directly contribute to continuity of care during the hospital stay.
D. Limit the number of interdisciplinary team members managing the client's care. Interdisciplinary collaboration (e.g., physicians, nurses, physical therapists, social workers) is crucial in providing comprehensive and continuous care, especially for complex cases.

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Correct Answer is A

Explanation

A. Suctioning a client's tracheostomy tube A face shield or goggles with a mask should be worn when performing procedures that generate aerosols or splashes, such as suctioning a tracheostomy. This helps protect the nurse from exposure to respiratory secretions.
B. Emptying an indwelling urinary catheter bag This task carries a low risk of splashing, so gloves are typically sufficient. If splashing is anticipated, wearing a gown and goggles may be appropriate.
C. Inserting an IV catheter for a client who has peritonitis IV insertion does not pose a high risk of splashes or sprays, so standard precautions (gloves) are usually adequate.
D. Changing the brief of an older adult client who has a Clostridium difficile infection While contact precautions (gown and gloves) are required for C. difficile, a face shield is not necessary unless significant splashing of fecal matter is expected. Hand hygiene with soap and water (not alcohol-based hand sanitizer) is essential.

A. Gently dry the client's feet and areas between the toes with a towel. B. Assist the client into a sitting position in a chair. C. Soak the client's feet in warm water. D. Apply lotion to the client's feet. E. Rub callused areas of the client's feet using a washcloth.

Correct Answer is B,C,E,A,D

Explanation

Assist the client into a sitting position in a chair. Ensures comfort and stability before starting foot care.
Soak the client's feet in warm water. Softens the skin and makes cleaning easier.
Rub callused areas of the client's feet using a washcloth. Helps remove dead skin and promotes circulation.
Gently dry the client's feet and areas between the toes with a towel. Prevents moisture buildup, which can lead to fungal infections.
Apply lotion to the client's feet. Moisturizes the skin but should not be applied between the toes to prevent excessive moisture retention and fungal growth.

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A charge nurse on an acute care unit is planning care for a client. Which of the following actions should the nurse take to promote the client's continuity of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a medical unit is caring for a group of clients. For which of the following tasks should the nurse wear a face shield?

Correct Answer is A

Explanation

44. A nurse is preparing to provide foot care for a client who is ambulatory. Identify the sequence of steps the nurse should follow when performing foot care. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is B,C,E,A,D

Explanation

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