. 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 B

Explanation

A. Informing the client that a catheter will be inserted is not appropriate; a catheter should only be used if necessary and with the client’s consent.

B. Documenting the client's refusal is crucial for legal and ethical reasons, ensuring that the healthcare team is aware of the client’s decision regarding the urine sample.

C. Telling the client that their blood alcohol level will be checked does not address their refusal and may lead to confusion or further resistance.

D. Assessing for urinary incontinence does not address the situation regarding the urine sample and is not directly relevant to the client's refusal to provide a sample.

A. Request the consultation after several wound care treatments are tried. B. Provide the consultant with subjective opinions and beliefs about the client's wound care. C. Arrange for the wound care specialist to see the client daily. D. Schedule the consultation at a time when the nurse caring for the client can attend.

Correct Answer is D

Explanation

A. Requesting a consultation only after several treatments may delay appropriate care. Consults should be made promptly based on the client's needs.

B. Providing subjective opinions and beliefs is inappropriate; objective, factual information about the client’s condition and treatment should be shared with the consultant.

C. Daily visits by the wound care specialist may not be necessary and could strain resources; a consult should focus on evaluating and advising rather than ongoing daily visits.

D. Scheduling the consultation at a time when the nurse caring for the client can attend ensures continuity of care and allows the nurse to discuss the client's condition and treatment plan directly with the specialist.

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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 in an emergency department is caring for a client following a motor-vehicle crash. The client refuses to provide a urine sample to check for substance use. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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