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 A
Explanation
Choice A reason: The risk of suicide is the highest priority for the charge nurse to assess. The client has several risk factors for suicide, such as major depressive disorder, medication noncompliance, hopelessness, social isolation, and psychomotor retardation. The charge nurse should evaluate the client's suicidal ideation, intent, and plan, and implement safety measures as needed.
Choice B reason: The risk of dehydration is a lower priority than the risk of suicide. The client may be dehydrated due to decreased fluid intake, but this is not a life-threatening condition. The charge nurse should monitor the client's hydration status and encourage oral fluids as appropriate.
Choice C reason: The risk of infection is a lower priority than the risk of suicide. The client does not have any signs or symptoms of infection, such as fever, chills, or leukocytosis. The charge nurse should assess the client's vital signs and laboratory results as indicated, but this is not an urgent issue.
Choice D reason: The risk of seizure is a lower priority than the risk of suicide. The client does not have any history or risk factors for seizure, such as epilepsy, head trauma, or drug withdrawal. The charge nurse should observe the client for any abnormal movements or behaviors, but this is not a likely complication.
Correct Answer is C
Explanation
Choice A reason: A mask is not sufficient to protect against airborne pathogens, such as the measles virus. A mask only filters out large droplets, but not the small particles that can remain suspended in the air. A mask should be worn when caring for a client who requires droplet precautions, such as influenza or pertussis.
Choice B reason: A client who has varicella should be placed in a negative pressure room, not a positive pressure room. A negative pressure room prevents the contaminated air from escaping the room and infecting others. A positive pressure room does the opposite: it prevents the outside air from entering the room and contaminating the client. A positive pressure room is used for clients who require protective isolation, such as those who are immunocompromised.
Choice C reason: A respirator should be worn when entering the client's room who has the measles. A respirator is a special type of mask that filters out both large and small particles, and provides a tight seal around the face. A respirator is required for clients who require airborne precautions, such as tuberculosis, varicella, or measles.
Choice D reason: A gown and gloves should be worn when providing direct care to the client who has the measles, but they are not specific to airborne precautions. A gown and gloves are part of standard precautions, which apply to all clients regardless of their diagnosis or infection status. A gown and gloves protect the nurse from contact with the client's blood, body fluids, secretions, and excretions.
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