. A nurse is planning discharge for a client who had a lung resection. The nurse initiates a referral for a social worker. Which of the following assessment data supports this referral?

The client needs to have someone come in to help her bathe at home.

The client needs to have someone bring oxygen tanks and equipment to her home.

The client needs to arrange financial resources to purchase equipment.

The client needs to have range-of-motion exercises to assist with ambulation.

Answer and Explanation

The Correct Answer is C

A. While the need for assistance with bathing may indicate the need for home health services, it is not specifically a reason to involve a social worker.

B. Arranging for oxygen tanks and equipment typically involves nursing and respiratory therapy rather than social work.

C. The need to arrange financial resources for purchasing equipment indicates a financial or logistical concern that is within the social worker's scope of practice to address, making this the most appropriate reason for the referral.

D. Range-of-motion exercises pertain more to physical therapy and nursing care, not social work.

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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. Cleanse the periurethral area with antiseptic cleaning solutions. B. Perform routine catheter irrigation every 8 hrs. C. Limit indwelling urinary catheter usage to 4 days. D. Maintain a closed system, ensuring connections are sealed securely.

Correct Answer is D

Explanation

A. While cleansing the periurethral area is important, antiseptic cleaning solutions may not be necessary and could lead to irritation. Standard soap and water are often sufficient.

B. Routine catheter irrigation is not recommended and can increase the risk of infection. Catheters should be managed without unnecessary interventions.

C. Limiting indwelling urinary catheter usage is a good practice, but the protocol should focus on maintaining the catheter system rather than a specific time frame for removal.

D. Maintaining a closed system, ensuring connections are sealed securely, is critical in preventing urinary tract infections (UTIs) as it minimizes the risk of pathogens entering the urinary tract.

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. A nurse is planning discharge for a client who had a lung resection. The nurse initiates a referral for a social worker. Which of the following assessment data supports this referral?

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 manager is developing a protocol to reduce the incidence of UTIs in clients who have an indwelling urinary catheter. Which of the following interventions should the nurse include in the protocol?

Correct Answer is D

Explanation

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 nurse implemented a new method of teaching clients about self-administration of insulin six months ago. Which of the following findings indicates the new method is effective?

A charge nurse is observing a newly licensed nurse provide care to four clients. Which of the following actions requires intervention by the charge nurse?

A nurse is preparing to discharge a client from an acute care facility to home. Which of the following information should the nurse plan to include in the client's discharge documentation?

A nurse is caring for a client who is eligible for a research study. Which of the following should provide informed consent to enroll in the study?

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?

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?