A nurse in the medical-surgical unit is assigning client care to a nurse who is floating from the PACU. The nurse should recognize that the float nurse is most qualified to care for which of the following clients?

A client who is being discharged to a long-term care facility

A client who is postoperative following a lobectomy and has a chest tube

A client who needs teaching about insulin self-administration

A client who needs teaching prior to initiating cardiac rehabilitation activities

Answer and Explanation

The Correct Answer is B

A. A client being discharged to a long-term care facility may need comprehensive discharge planning, which involves familiarity with long-term care requirements, but this is not typically within the primary expertise of a PACU nurse.
B. A client who is postoperative following a lobectomy and has a chest tube falls within the PACU nurse's area of expertise. PACU nurses are experienced in monitoring and managing postoperative clients, including those with chest tubes, as these clients require close monitoring for complications such as respiratory distress or chest tube malfunction.
C. Teaching about insulin self-administration is important, but this task is more suited to nurses experienced in chronic care management, such as those from medical-surgical or endocrinology units.
D. Teaching prior to initiating cardiac rehabilitation requires specialized knowledge in cardiac care, which may not be the primary focus of a PACU nurse's practice.

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Correct Answer is D

Explanation

A. Closed-ended questions may limit the information gathered from the client. Open-ended questions are more appropriate for exploring sensitive topics like STIs.
B. Referring a client to genetic counseling is not typically indicated solely based on a history of STIs.
C. A client's reproductive health history, including past and present STIs, is crucial for comprehensive counseling and treatment planning.
D. Asking about the client's exposure to past or present STIs is important for assessing risk factors, providing appropriate counseling, and guiding testing and treatment decisions.

A. Positions the wrapped package on the bedside table so the outer flap is away from her. B. Holds gauze packages 15 cm (6 in) above the sterile field. C. Holds a bottle of solution with the label away from the palm of the hand. D. Wears sterile gloves when moving sterile items on the sterile field.

Correct Answer is C

Explanation

A. Positions the wrapped package on the bedside table so the outer flap is away from her: This action is correct because opening the flap away from the body minimizes the risk of contaminating the sterile field.

B. Holds gauze packages 15 cm (6 in) above the sterile field: This action is correct. Dropping sterile items from a height of 6 inches or more prevents contamination by ensuring they do not touch the edges or outside surfaces of the sterile field.

C. Holds a bottle of solution with the label away from the palm of the hand: When pouring a solution, the label should be held toward the palm of the hand to protect it from damage caused by spills. A damaged label could make it difficult to identify the solution, increasing the risk of error.

D. Wears sterile gloves when moving sterile items on the sterile field: This action is appropriate. Sterile gloves help maintain the sterility of the field and are required when manipulating sterile items.

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A nurse in the medical-surgical unit is assigning client care to a nurse who is floating from the PACU. The nurse should recognize that the float nurse is most qualified to care for which of the following clients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a group of newly licensed nurses on effective techniques for counseling clients about sexually transmitted infections (STIs). Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is observing a newly licensed nurse prepare a sterile field. For which of the following actions should the nurse intervene?

Correct Answer is C

Explanation

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