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.

Answer and Explanation

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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Correct Answer is A

Explanation

The nurse should give the statement "I will notify the charge nurse of your request to have only male staﬀ members assigned to care for you." This response shows that the nurse is respecting the client's wishes and taking appropriate action to address their concerns.
Option B is incorrect because it is not within the nurse's scope of practice to arrange for a specific AP to provide care.
Option C is incorrect because it does not address the client's concerns or wishes.
Option D is incorrect because it may be perceived as confrontational and does not address the client's concerns in a respectful and professional manner.

A. Malfeasance B. Nonmalfeasance C. Veracity D. Justice

Correct Answer is B

Explanation

When preparing to administer medications, the nurse carefully confirms the drug order and the patient's identity. This is an example of the ethical principle of nonmalfeasance. Nonmalfeasance refers to the principle of "do no harm" and requires healthcare providers to avoid causing harm to their patients.
Option A refers to wrongdoing or misconduct and is not applicable in this situation.
Option C refers to truthfulness and honesty, but it is not the primary principle being demonstrated in this situation.
Option D refers to fairness and equality, but it is not the primary principle being demonstrated in this situation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A male client tells the nurse that he does not want the female assistive personnel (AP) involved in his care. Which of the following statements should the nurse give?

Correct Answer is A

Explanation

When preparing to administer medications, the nurse carefully confirms the drug order and the patient's identity. This is an example of which ethical principle?

Correct Answer is B

Explanation

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When preparing to administer medications, the nurse carefully confirms the drug order and the patient's identity. This adherence to an essential ethical principle is:

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