A nurse is caring for a client.

Exhibits

Complete the following sentence by using the list of options.

The first two actions the nurse should take are
_
and
_

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Place the client in a private room (Option 1): Given the positive test results for tuberculosis (TB) exposure, placing the client in a private room is crucial for infection control. This helps prevent the spread of TB, which is a highly contagious disease, to other patients and healthcare staff. Isolation is a standard precaution for patients suspected of having active TB.

Apply supplemental oxygen (Option 2): The client's oxygen saturation is low at 88% on room air, indicating hypoxemia. Administering supplemental oxygen is essential to improve the patient's oxygen levels, ensure adequate tissue perfusion, and address any respiratory distress the patient may be experiencing.

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Correct Answer is B

Explanation

A. While it is important to restrict access to medical records, it is not solely the risk manager's role to give permission; the policy should be followed regarding patient information access.

B. Reminding the nurse that only those directly involved in the client's care should access their medical record upholds confidentiality and patient privacy standards.

C. Completing an incident report is a more formal step and might be warranted later, but initially addressing the behavior directly is more appropriate.

D. Contacting security would be an extreme response; addressing the situation with the nurse first is typically the best course of action.

A. Photograph B. Medical diagnosis C. Age D. Room number

Correct Answer is A

Explanation

A. A photograph can be used as part of positive patient identification, especially if other identifiers (like name and birthdate) are also confirmed.

B. Medical diagnosis is not unique to a client and cannot confirm identity.

C. Age alone is not sufficient for positive identification.

D. Room numbers can change and should never be used as identifiers.

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A nurse is caring for a client. Exhibits Complete the following sentence by using the list of options. The first two actions the nurse should take are ___ and ___

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client and observes a nurse from another unit reviewing the client's medical record. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is preparing to administer medications to a client. Which of the following pieces of information should the nurse use as a client identifier?

Correct Answer is A

Explanation

A nurse is inserting an indwelling urinary catheter for a male client. After inserting the catheter 15 cm (6 in), the nurse feels resistance and no urine flows through the catheter. Which of the following actions should the nurse take?

A nurse is reinforcing teaching about beginning an exercise program with an older adult client who is at risk for osteoporosis. Which of the following activities should the nurse recommend?

A nurse is collecting data from an older adult client who lives alone. Which of the following findings should the nurse identify as the priority?

A nurse is caring for a client who has a new colostomy. The client refuses to participate in her ostomy care, saying, "I'm not touching that thing." Which of the following actions should the nurse take?

A nurse is assisting with the care of a client. Exhibits Which of the following actions should the nurse take to promote the client's respiratory status? Select all that apply.

A nurse is reinforcing teaching with a client about advance directives. Which of the following client statements indicates an understanding of the teaching?

A nurse is reinforcing teaching with a group of newly licensed nurses regarding client confidentiality. In which of the following situations can the nurse disclose health information without the client's written consent?

A nurse is caring for a client.

Exhibits

Complete the following sentence by using the list of options.

The first two actions the nurse should take are
_
and
_