A nurse is orienting a newly licensed nurse on the neurological unit. Which of the following clients should the nurse assign to the newly licensed nurse?

A client who has a brain tumor and is admitted for chemotherapy

A client who has multiple sclerosis and ataxia

A client who sustained a concussion and is being monitored for complications

A client who has Guillain-Barré syndrome and a tracheostomy

Answer and Explanation

The Correct Answer is C

A. A client with a brain tumor and chemotherapy may require more complex assessments and management, making them less suitable for a newly licensed nurse.

B. A client with multiple sclerosis and ataxia may have fluctuating symptoms that require more experienced nursing care.

C. A client who sustained a concussion and is being monitored for complications is stable and can be appropriately assigned to a newly licensed nurse who can learn to monitor for signs of deterioration.

D. A client with Guillain-Barré syndrome and a tracheostomy requires specialized skills and knowledge in airway management, making them inappropriate for a newly licensed nurse.

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Correct Answer is B

Explanation

A. While a provider's prescription would indicate specific orders for individual patients, it does not serve as a standard guideline for the removal of urinary catheters.

B. A critical pathway outlines standardized, evidence-based protocols for managing patients' care, including when to remove indwelling urinary catheters following specific procedures like colon resection.

C. Maslow's hierarchy of needs is a psychological theory used to prioritize care based on human needs but does not provide specific clinical guidelines for catheter removal.

D. The surgical record documents the surgery but does not contain guidelines or protocols for post-operative care like catheter removal.

A. "I need to have my attorney review my advance directives." B. "I can make changes to my living will even after I sign it." C. "I should choose a family member as my health care proxy." D. "I will have a nurse witness the signing of my living will."

Correct Answer is B

Explanation

A. While having an attorney review advance directives can be helpful, it is not a necessary step for everyone and does not indicate an understanding of the nature of advance directives themselves.

B. The statement about being able to make changes to a living will even after it is signed indicates an understanding that advance directives can be modified at any time as long as the individual is competent to make those changes.

C. While it is common to choose a family member as a health care proxy, this statement is not necessarily indicative of a full understanding of the responsibilities involved in that role or the options available.

D. Advance directives do not require a nurse to witness their signing; typically, a notary public or other legally designated individual may be needed. This statement reflects a misunderstanding of the signing process for living wills.

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A nurse is orienting a newly licensed nurse on the neurological unit. Which of the following clients should the nurse assign to the newly licensed nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to develop a standard for removal of indwelling urinary catheters from clients following colon resection. Which of the following resources should the nurse use?

Correct Answer is B

Explanation

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

Correct Answer is B

Explanation

A charge nurse is supervising the actions taken by a staff nurse following a client fall. The charge nurse should identify that which of the following actions by the staff nurse indicates an understanding of the procedure?

A nurse is orienting a newly licensed nurse about the use of restraints. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A charge nurse is observing a newly licensed nurse change a client's wound dressing. Which of the following actions by the newly licensed nurse demonstrates an understanding of safe handling techniques?

A nurse working in an emergency department is caring for a group of clients. Which of the following clients should the nurse report for suspected maltreatment?

A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?

A nurse in a long-term care facility is assessing a client who has returned from an acute care facility following a brief illness. The nurse observes that the client is confused and agitated. Which of the following actions should the nurse take first?

A charge nurse witnesses two nurses having a loud discussion at the nurses' station about not wanting to care for a client who has drug-resistant tuberculosis. Which of the following actions should the charge nurse take?

A nurse is preparing a client for surgery. The client expresses concern that someone might steal her purse during the procedure. Which of the following actions should the nurse take?