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 A

Explanation

A. Submitting a written request is a standard procedure for obtaining medical records, as it ensures proper documentation and compliance with privacy regulations. This response is appropriate and follows legal protocols.

B. Making a copy of the medical records immediately may violate facility policy, as proper authorization and procedures are typically required before releasing any medical documents.

C. Questioning the client's intentions can be seen as invasive and does not facilitate the process of obtaining their medical records. The nurse should not pry into the client’s personal reasons.

D. Stating that the facility is unable to release the records is incorrect, as clients have the right to access their medical records as long as they follow the proper protocol.

A. Notify the provider. B. Complete an incident report. C. Inform the nursing supervisor. D. Observe the client's condition.

Correct Answer is D

Explanation

A. While notifying the provider is important, it should not be the first action taken. The priority is to assess the client's condition to determine if there are any immediate effects from the additional medication dose.

B. Completing an incident report is necessary but comes after assessing the client’s condition.

C. Informing the nursing supervisor is important for documentation and support but should follow the assessment of the client.

D. Observing the client's condition is the most critical first step. This ensures that the nurse can identify any potential adverse effects from the additional dose and provide necessary interventions promptly.

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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 caring for a client who requests a copy of their medical records immediately. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

A nurse is reviewing the medication administration record of a client and notices that an additional dose of medication has been administered. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

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?

A nurse is reviewing the electronic medical record on clients following the implementation of a quality improvement plan to reduce health care associated infections on a medical surgical unit. Exhibits Select the 3 clients whose findings indicate the program is effective.

A nurse is reviewing the medication administration record of a client and notices that an additional dose of medication has been administered. Which of the following actions should the nurse take first?

A nurse manager is discussing responsibilities of the nurse manager role with a group of newly licensed nurses. Which of the following responsibilities should the nurse include? (Select all that apply.)

A nurse manager is reviewing the rate of medication errors on a surgical floor and finds that it is 20% above the national average. After setting a standard of care, which of the following actions should the nurse manager take first using the quality improvement process?

A nurse administrator is using benchmarking as control criteria while reviewing current policies and procedures. Which of the following actions should the nurse take?

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

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