A nurse is assisting in the care of a client.

Exhibits

A nurse is assisting in planning care for the client. Which of the following tasks should the nurse recommend to delegate to the staff member assigned as a safe sitter?

Select the 3 tasks the nurse should recommend to delegate.

Ambulate with the client to bathroom.

Document the client's vital signs.

Assist the client with eating.

Administer PRN medication to the client.

Notify the provider about the client's forearm.

Answer and Explanation

Correct Answer : A,B,C

A. Ambulate with the client to bathroom. Safe sitters can assist with ambulation, ensuring the client’s safety while moving.
B. Document the client's vital signs. Safe sitters can document routine measurements like vital signs.
C. Assist the client with eating. Safe sitters can help clients with basic needs such as eating.
D. Administer PRN medication to the client. Administering medication requires clinical judgment and is within the scope of practice for licensed nurses, not safe sitters.
E. Notify the provider about the client's forearm. Communicating with providers about clinical concerns requires clinical judgment and is the responsibility of licensed nurses.

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Correct Answer is D

Explanation

A. Using only room numbers for client identification does not guarantee confidentiality, as room numbers can still be linked to specific individuals.
B. Logging assistive personnel into unit computers compromises security and violates confidentiality protocols. Each user should have a unique login.
C. Including a client’s name on a fax cover sheet is not recommended, as it exposes protected health information and can breach confidentiality.
D. Conducting change-of-shift report in a staff-only area protects client information from being overheard by unauthorized individuals, ensuring confidentiality.

A. The surgeon should delay surgery until he can obtain informed consent from a parent. B. The client's pediatrician can obtain implied consent. C. The surgeon can proceed with the surgery by invoking implied consent. D. The surgeon can obtain informed consent from the client's adult cousin.

Correct Answer is C

Explanation

A. Delaying surgery in a life-threatening situation could endanger the client, so waiting for parental consent is not required under emergency circumstances.
B. The pediatrician does not have the authority to provide implied consent; this legal principle applies directly to the care team in emergency situations.
C. In emergency situations where a minor requires immediate, life-saving treatment and a parent or legal guardian is not available, implied consent allows the surgeon to proceed with necessary interventions to prevent harm.
D. An adult cousin does not have legal authority to provide consent for a minor’s treatment unless specifically designated as a legal guardian.

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A nurse is assisting in the care of a client. Exhibits A nurse is assisting in planning care for the client. Which of the following tasks should the nurse recommend to delegate to the staff member assigned as a safe sitter? Select the 3 tasks the nurse should recommend to delegate.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a newly licensed nurse about client confidentiality. Which of the following information should the nurse include?

Correct Answer is D

Explanation

A nurse is caring for a 16-year-old client who was in a motor-vehicle crash and needs surgical intervention immediately. The staff cannot reach either of the client's parents. The nurse should identify that which of the following is true about obtaining consent?

Correct Answer is C

Explanation

A charge nurse is observing the actions of the facility staff on the unit. Which of the following actions should the charge nurse identify as a possible legal issue?

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A nurse is assisting in the care of a client. Exhibits A nurse is assisting in planning care for the client. Which of the following tasks should the nurse recommend to delegate to the staff member assigned as a safe sitter? Select the 3 tasks the nurse should recommend to delegate.

A nurse is admitting a client for an elective surgical procedure. During the client interview, one of the client's family members faints. Which of the following actions should the nurse take first?

A nurse is assisting in the review of infection control precautions implemented by staff in a facility. Exhibits Select 2 client situations that require follow-up by the infection control nurse.

A nurse is assisting in the care of a client.

Exhibits

A nurse is assisting in planning care for the client. Which of the following tasks should the nurse recommend to delegate to the staff member assigned as a safe sitter?

Select the 3 tasks the nurse should recommend to delegate.