A nurse is admitting a client to the medical-surgical unit. Which of the following actions should the nurse take first?
Place the client's valuables in the facility's safe.
Observe the client's level of mobility.
Administer prescribed medications.
Electronically enter the prescriptions from the provider.
The Correct Answer is B
A. Place the client's valuables in the facility's safe - While securing the client's valuables is important, it is not the priority upon admission.
B. Observe the client's level of mobility - This is the priority as it allows the nurse to assess the client's immediate physical condition and risk of falls or other mobility-related issues.
C. Administer prescribed medications - Medication administration can wait until the client's initial assessment, including mobility, has been completed.
D. Electronically enter the prescriptions from the provider - Entering prescriptions can be done after the initial assessment and immediate needs of the client have been addressed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Herpes simplex virus (HSV) type 1 infection is not typically a reportable diagnosis to the CDC unless it is part of a larger outbreak or cluster of cases.
B. Hepatitis A is a reportable infectious disease to the CDC due to its potential for public health significance, particularly in outbreaks or clusters of cases.
C. Human papillomavirus (HPV) infection is not typically a reportable diagnosis to the CDC unless it is part of a larger study or surveillance effort.
D. Pediculosis capitis (head lice infestation) is not typically a reportable diagnosis to the CDC unless it is part of a larger outbreak or cluster of cases.
Correct Answer is C
Explanation
A. Hydrogen peroxide is not recommended for cleaning surfaces contaminated with blood as it is not as effective as other agents and may not adequately disinfect surfaces.
B. Isopropyl alcohol can be effective for disinfecting surfaces contaminated with blood, but it is less effective against certain bloodborne pathogens like hepatitis B virus compared to chlorine bleach.
C. Chlorine bleach is an effective agent for cleaning surfaces contaminated with blood and is recommended by CDC guidelines for disinfecting against bloodborne pathogens.
D. Chlorhexidine is primarily used as a skin antiseptic and is not typically used for cleaning surfaces contaminated with blood.
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