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 Guillain-Barré syndrome and a tracheostomy
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
The Correct Answer is D
Choice A Reason:
A client who has Guillain-Barré syndrome and a tracheostomy is incorrect. Guillain-Barré syndrome can be a complex condition, especially when accompanied by a tracheostomy. Caring for a client with this condition requires knowledge and experience in managing respiratory and neurological complications. It may not be suitable for a newly licensed nurse who may require more experience to manage such complex care needs.
Choice B Reason:
A client who has a brain tumor and is admitted for chemotherapy is incorrect. Caring for a client with a brain tumor undergoing chemotherapy involves understanding the effects of both the tumor and the treatment on the client's neurological status and overall well-being. It may require advanced assessment skills and knowledge of potential complications. Assigning this client to a newly licensed nurse may not be appropriate without additional support and supervision.
Choice C Reason:
A client who has multiple sclerosis and ataxia is incorrect. Multiple sclerosis (MS) can present with various neurological symptoms, including ataxia, which affects coordination and balance. Managing the care of a client with MS and ataxia may require familiarity with the disease process, symptom management strategies, and potential complications. It may be more suitable for a nurse with some experience in neurological nursing.
Choice D Reason:
A client who sustained a concussion and is being monitored for complications is correct. Caring for a client with a concussion being monitored for complications is typically within the scope of practice for a newly licensed nurse. Monitoring for changes in neurological status, assessing for signs of increased intracranial pressure, and providing supportive care are tasks that can be managed by a newly licensed nurse under appropriate supervision.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
Verifying the spelling of the medication with the provider is correct. When receiving a telephone prescription, it's essential to verify the accuracy of the information provided, including the spelling of the medication. This helps prevent errors in transcription and dispensing. Verifying the spelling of the medication with the provider ensures that the nurse correctly identifies the medication being prescribed.
Choice B Reason:
Transcribing prescriptions received via a voicemail recording, may not be the safest method for obtaining prescriptions, as it may introduce transcription errors. Direct communication with the provider is preferred whenever possible.
Choice C Reason:
Requesting that the provider call prescriptions in to the pharmacy, may be appropriate in some cases, but it does not address the nurse's role in accurately receiving and documenting telephone prescriptions.
Choice D Reason:
Using standard abbreviations when obtaining a telephone prescription, is not recommended. Abbreviations can lead to misinterpretation and errors, so it's important to use clear and unambiguous language when documenting prescriptions.
Correct Answer is B
Explanation
A. Convey the client's request to the nurse who witnessed the consent.The nurse who witnessed the consent does not have the authority to explain the risks of the procedure. Their role is only to witness that the consent was signed, not to provide information about the procedure.
B. Notify the provider about the client's concerns.The provider who is performing the cardiac catheterization is legally responsible for explaining the risks, benefits, and alternatives of the procedure. If the client expresses concerns or appears to lack understanding just before the procedure, the nurse should notify the provider so they can further explain the risks and clarify any questions.
C. Explain the risks of the procedure to the client.While the nurse can offer general information about the procedure, only the provider who is performing the procedure should explain the specific risks associated with it.
D. Check to see if the medical record indicates the provider explained the procedure to the client. Even if documentation indicates that the provider previously explained the procedure, the client still has the right to have their concerns addressed by the provider just before the procedure.
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