A nurse working in a long-term care facility is assigned to care for four clients following the 0700 morning change-of-shift report. Which of the following clients should the nurse attend to first?
A client who has bronchitis, began receiving antibiotics yesterday and has a temperature of 38.3°C (101°F).
A client who has COPD and has an oxygen saturation of 90%.
A client who has Alzheimer's and was restless during the night.
A client who has diabetes and had a 0600 blood glucose level of 60 mg/dL.
The Correct Answer is D
Of the four clients described, the nurse should attend to the client who has diabetes and had a 0600 blood glucose level of 60 mg/dL first. This client's blood glucose level is low and requires immediate intervention to prevent further complications.
Option A may require attention, but the client's condition is stable and they are receiving treatment.
Option B may also require attention, but an oxygen saturation of 90% is within an acceptable range for a client with COPD.
Option C may also require attention, but the client's restlessness during the night does not indicate an immediate need for intervention.
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Related Questions
Correct Answer is A
Explanation
The nurse is planning to use a democratic leadership style when conducting an in-service that encourages active member participation and feedback about decreasing nosocomial infections on the unit. A democratic leader values the input and opinions of team members and encourages participation and collaboration in decision-making. By encouraging active participation and feedback from team members, the nurse is demonstrating a democratic approach to leadership.
The other options are not the leadership style that the nurse plans to use in this situation. A laissez-faire leader [b] takes a hands-on approach and allows team members to make their own decisions without providing guidance or direction. An autocratic leader [c] makes decisions unilaterally without seeking input or feedback from team members. An open-door leader [d] maintains an open-door policy and is accessible to team members, but this does not necessarily involve active participation and feedback from team members.
Correct Answer is ["A","B","C","E"]
Explanation
When reinforcing teaching with a client about advance directives, the nurse should include topics such as organ donation [a], disclosure of personal health care information [b], durable power of attorney for health care [c], and cardiopulmonary resuscitation [e]. Advance directives are legal documents that allow individuals to communicate their wishes about medical treatment and end-of-life care in the event that they are unable to make decisions for themselves. These topics are all important components of advance directives and should be discussed with the client.
Enteral feeding tubes [d] are not a topic that is typically included in discussions about advance directives. While enteral feeding may be a component of end-of-life care, it is not a specific topic that is addressed in advance directives.
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