. 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 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.

A. Review the intended purpose of the prescribed medications with the client. B. Call the provider to clarify the client's prescribed medications. C. Consult the pharmacist about the client's prescribed medications. D. Compare the client's medication administration record with the prescriptions on the transfer orders.

Correct Answer is A

Explanation

A. Reviewing the intended purpose of the medications with the client addresses their concerns and helps them understand the rationale behind the prescribed treatment, which is essential in promoting adherence.

B. While it may be necessary to call the provider for clarification, the immediate step is to engage the client in conversation about their medications.

C. Consulting the pharmacist could provide additional information about the medications, but the first action should be to communicate with the client directly.

D. Comparing the medication administration record with the prescriptions is important for accuracy but does not address the client’s immediate concern about the medications.

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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 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

A nurse in a rehabilitation facility is administering medications to a client who was admitted earlier that day. The client refuses two of the medications, stating, "I've never taken these before." Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

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