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. Expressing a desire to join a support group indicates a need for emotional support but does not specifically require occupational therapy.

B. Requiring assistance with completing oral hygiene indicates that the client may benefit from occupational therapy to improve fine motor skills and daily living activities, making this the most relevant finding for the referral.

C. Difficulty ambulating with a walker may require physical therapy rather than occupational therapy, as it focuses on mobility rather than daily tasks.

D. Reporting pain when chewing solid foods suggests a need for dietary modifications or possibly speech therapy, but it does not directly indicate a need for occupational therapy.

A. Green B. Yellow C. Black D. Red

Correct Answer is C

Explanation

A. Green is used for clients who are non-urgent and can wait for care, typically those with minor injuries.

B. Yellow is for clients who require monitoring but are stable and not in immediate danger.

C. Black is the appropriate triage tag for a client with full-thickness burns covering 72% of their body, indicating a likely fatal condition and prioritizing resources for those with a better chance of survival.

D. Red is assigned to clients who are critical and require immediate care but can survive with intervention, which does not apply in this case due to the extent of the burns.

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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 initiates a referral to an occupational therapist for a client who has rheumatoid arthritis. Which of the following assessment findings supports the need for this referral?

Correct Answer is B

Explanation

A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which of the following triage tag colors should the nurse instruct the group to apply to a client who has full-thickness burns on 72% of his body?

Correct Answer is C

Explanation

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