A nurse in a long-term care facility is caring for a client who reports the assistive personnel repositioned him in bed using excessive force. Which of the following actions should the nurse take?

Contact the nurse manager.

Call risk management to interview the client.

Reassure the client that the staff is well trained.

Document in the client's chart that an incident report has been filed.

Answer and Explanation

The Correct Answer is A

A.   Contacting the nurse manager allows for immediate notification of the incident to someone in authority who can initiate appropriate follow-up and investigation.
B.   Involving risk management might be necessary but should come after informing the immediate supervisor or manager.
C.   Reassuring the client, while important, should not be the primary action; addressing the issue and initiating appropriate steps should take precedence.
D.   Documenting the incident report in the client's chart is important but should follow the immediate notification of the supervisor or manager.

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Correct Answer is C

Explanation

A. Inadequate food supply is important but might not be the most immediate concern following coronary artery bypass grafting surgery.
B. Limited social support is significant for the client's recovery but might not directly impact the immediate post-operative care.
C. Low pain tolerance after a major surgery like coronary artery bypass grafting can impede recovery, affect mobility, and hinder the client's ability to participate in rehabilitation exercises or manage post-operative pain effectively. Addressing pain
tolerance is crucial for post-operative recovery.
D. Decreased self-esteem, while important for the client's overall well-being, might not be an immediate priority in the early stages following surgery compared to managing physical recovery and pain tolerance.

A. A client who is at 39 weeks of gestation and has a negative contraction stress test B. A client who is at 35 weeks of gestation and has a biophysical profile of 6 C. A client who is at 37 weeks of gestation and has an US ratio of 2:1 D. A client who is at 28 weeks of gestation and has a negative Coombs' titer

Correct Answer is B

Explanation

A. A client at 39 weeks of gestation with a negative contraction stress test is at term and might not require an interdisciplinary care conference if the test results are normal.
B. A client at 35 weeks of gestation with a biophysical profile of 6 might need further evaluation or interventions, making it appropriate to discuss the case in an
interdisciplinary care conference.
C. A client at 37 weeks of gestation with a specific US ratio might require attention, but the significance of the ratio in this context is unclear without additional information.
D. A client at 28 weeks of gestation with a negative Coombs' titer might not require an interdisciplinary care conference solely based on this information.

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A nurse in a long-term care facility is caring for a client who reports the assistive personnel repositioned him in bed using excessive force. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A case manager is preparing a discharge plan for a client following coronary artery bypass grafting surgery. Which of the following client issues should the nurse address first?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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