A nurse is caring for a client who has a new diagnosis of Crohn's disease and is interested in learning more about their condition. Which of the following actions should the nurse take?
Suggest that the client read articles that recommend specific treatments for Crohn's disease.
Recommend podcasts that discuss Crohn's disease to the client.
Encourage the client to research Crohn's disease on websites that have a .gov address.
Ask a licensed practical nurse to explain Crohn's disease to the client.
Obtain the client's vital signs.
The Correct Answer is C
Choice A reason: Suggesting that the client read articles that recommend specific treatments for Crohn's disease is not an action the nurse should take. This is an inappropriate and potentially harmful action, as the nurse should not endorse any treatments that are not prescribed by the provider. The nurse should also avoid giving the client unreliable or biased sources of information.
Choice B reason: Recommending podcasts that discuss Crohn's disease to the client is not an action the nurse should take. This is an ineffective and insufficient action, as the nurse should not rely on podcasts as the primary source of education for the client. The nurse should also assess the quality and credibility of the podcasts before suggesting them to the client.
Choice C reason: Encouraging the client to research Crohn's disease on websites that have a .gov address is an action the nurse should take. This is an appropriate and helpful action, as the nurse should promote the client's self-education and empowerment. The nurse should also guide the client to use websites that have a .gov address, as they are more likely to provide accurate and evidence-based information.
Choice D reason: Asking a licensed practical nurse to explain Crohn's disease to the client is not an action the nurse should take. This is an irresponsible and unprofessional action, as the nurse should not delegate the task of client education to a licensed practical nurse. The nurse should provide the client with clear and comprehensive information about their condition and answer any questions they may have.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: A unit nurse does not have the authority to prescribe emergency medications during a disaster, unless they have an advanced practice license and a collaborative agreement with a provider. The nurse should follow the facility's protocol and the provider's orders for administering medications.
Choice B reason: A nurse should not communicate with the performance improvement committee during a disaster, as this is not a priority at that time. The nurse should focus on providing safe and effective care to the clients and collaborating with the disaster response team.
Choice C reason: A nurse can recommend clients who are stable for discharge during a disaster, as this can help to free up beds and resources for more critical clients. The nurse should use their clinical judgment and the facility's criteria to identify the clients who are eligible for discharge.
Choice D reason: A unit nurse should not provide information to the media during a disaster, as this can violate the clients' privacy and confidentiality. The nurse should refer any media inquiries to the facility's designated spokesperson or public relations officer.
Correct Answer is C
Explanation
Choice A reason: A client who has a displaced femur fracture from a fall is a priority client, but not the highest priority. The nurse should assess the client for signs of bleeding, infection, nerve damage, and compartment syndrome, and provide pain relief and immobilization. However, the client's condition is not as urgent or life-threatening as the other clients.
Choice B reason: A client who is experiencing severe vomiting and diarrhea with tachycardia is a priority client, but not the highest priority. The nurse should assess the client for signs of dehydration, electrolyte imbalance, and shock, and provide fluid and electrolyte replacement and antiemetic medication. However, the client's condition is not as urgent or life-threatening as the other clients.
Choice C reason: A client who is confused and has slurred speech is the highest priority client, as these are signs of a possible stroke, which is a medical emergency. The nurse should assess the client for other signs of stroke, such as facial drooping, arm weakness, and vision problems, and initiate the stroke protocol, which includes calling for help, obtaining a CT scan, and administering thrombolytic therapy if indicated.
Choice D reason: A client who has chemical burns covering 20% of the total body surface area is a priority client, but not the highest priority. The nurse should assess the client for signs of airway injury, infection, and fluid loss, and provide wound care, pain relief, and fluid resuscitation. However, the client's condition is not as urgent or life-threatening as the other clients.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today