An adult client is admitted via the emergency department (ED) with a head injury that will initially require intensive care. Which nurse should be responsible for coordinating the progression of this client's care through rehabilitation and discharge?

Risk management nurse.

Neurology unit supervisor.

Nurse case manager.

Adult nurse practitioner.

Answer and Explanation

The Correct Answer is C

Choice A rationale: The risk management nurse is not typically responsible for coordinating patient care through rehabilitation and discharge.

Choice B rationale: The neurology unit supervisor may have expertise in neurology care but may not be directly involved in coordinating care through rehabilitation and discharge.

Choice C rationale: The nurse case manager is specifically trained to coordinate and manage the care of patients through the entire healthcare continuum, including rehabilitation and discharge.

Choice D rationale: While the adult nurse practitioner may be involved in the patient's care, the nurse case manager is spec

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Correct Answer is B

Explanation

Choice A rationale: Vital signs within the normal range two hours after receiving morphine do not indicate an immediate need for intervention by a registered nurse. Choice B rationale: A client reporting severe pain one hour after receiving hydromorphone requires assessment and intervention by a registered nurse to determine the cause of the pain and implement appropriate measures. Hydromorphone is a potent opioid analgesic that can cause serious side effects such as respiratory depression, sedation, hypotension, and constipation. A registered nurse has the knowledge and skills to monitor these effects and intervene if necessary.

Choice C rationale: Changing a fentanyl transdermal patch is a routine procedure and can be safely performed by a practical nurse.

Choice D rationale: A postoperative client reporting incisional pain requires assessment, but the pain level alone does not indica

A. Conduct a closer examination of staff nurse's distribution of pain medication from evening shift. B. Hold a mandatory staff meeting to discuss the findings of documentation audits from every shift. C. Question clients about effectiveness of pain medication. D. Discuss with healthcare provider a plan to change client analgesia.

Correct Answer is A

Explanation

Choice A rationale: Conducting a closer examination of staff nurses' distribution of pain medication is the first step to identify any issues or patterns contributing to the higher than-usual administration of narcotic pain medications.

Choice B rationale: Holding a mandatory staff meeting may be necessary, but a focused examination should precede broader discussions.

Choice C rationale: Questioning clients about the effectiveness of pain medication is an important aspect of the investigation but should follow a thorough examination of medication distribution.

Choice D rationale: Discussing with the healthcare provider about changing client analgesia may be considered later based on the findings of the examination.

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An adult client is admitted via the emergency department (ED) with a head injury that will initially require intensive care. Which nurse should be responsible for coordinating the progression of this client's care through rehabilitation and discharge?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

It is most important to assign which client to a registered nurse rather than a practical nurse (PN)?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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