A preceptor advises the novice nurse to prioritize which client intervention?
Attending to personal hygiene
Ensuring client safety
Meeting psychosocial needs
Providing patient-focused care
The Correct Answer is B
Choice A reason: Attending to personal hygiene improves comfort and prevents infection but is not the highest priority. Safety, including preventing falls or medication errors, prevents immediate harm, as hygiene issues pose less urgent risks, making this a secondary intervention compared to ensuring client safety.
Choice B reason: Ensuring client safety is the priority, preventing immediate harm like falls, medication errors, or equipment-related injuries. Safety is foundational, as unsafe conditions can lead to life-threatening complications, making this the most critical intervention to prioritize in any clinical setting for client well-being.
Choice C reason: Meeting psychosocial needs supports emotional well-being but is secondary to safety. Unaddressed safety risks, like falls, pose immediate physical harm, whereas psychosocial issues have longer-term impacts, making safety the priority over emotional or social support in clinical care.
Choice D reason: Providing patient-focused care ensures individualized treatment but is less urgent than safety. Safety prevents immediate harm, like falls or errors, while patient-focused care enhances outcomes over time, making it a secondary priority compared to ensuring the client’s physical safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Wheezes are high-pitched, musical sounds caused by narrowed airways, common in asthma or COPD exacerbations. They do not clear with coughing and are not moist or rumbling, making this an incorrect description for the lung sounds heard, which improve after coughing in this COPD client.
Choice B reason: Rhonchi are low-pitched, moist, rumbling sounds caused by secretions in larger airways, often in COPD. They improve with coughing as secretions are mobilized, matching the description provided. This makes rhonchi the accurate term for documenting these lung sounds, reflecting secretion accumulation in COPD.
Choice C reason: Crackles are fine or coarse popping sounds caused by fluid in smaller airways or alveoli, often in pneumonia or heart failure. They do not clear with coughing and are not rumbling, making crackles an incorrect choice for the moist, rumbling sounds that improve after coughing.
Choice D reason: Pleural friction rub is a grating sound caused by inflamed pleural surfaces, often in pleurisy. It is not moist or rumbling and does not improve with coughing, making it an inappropriate description for the lung sounds heard in this client with COPD, which are secretion-related.
Correct Answer is []
No explanation
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