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.
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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Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
Choice A rationale: The nurse does not need to determine who is assigned the care of the client, as this is not relevant to the immediate situation.
Choice B rationale: The nurse should not enter the room and quietly observe the interaction, as this would delay the intervention and put the client and the visitor at risk.
Choice C rationale: The nurse should not notify the hospital security department immediately, as this would also delay the intervention and may escalate the situation.
Choice D rationale: The nurse should prioritize the safety of the client and the visitor, and intervene to stop the potential violence. The nurse should instruct the visitor to leave the room immediately, and then assess the client's condition and provide appropriate care.
Correct Answer is C
Explanation
Choice A rationale: Recording that the nurse questioned the prescription and seeking guidance from the supervisor can be done after calling the healthcare provider back.
Choice B rationale: Notifying the medical chief of staff may be necessary, but the nurse should first call the healthcare provider back.
Choice C rationale: Calling the healthcare provider back to report the dosage discrepancy is important, because it will allow the healthcare provider to correct the mistake and give a safe prescription.
Choice D rationale: Refusing to administer the medication and writing an incident report is an appropriate action, but it should be done if the healthcare provider does not respond or insists on giving the wrong prescription.
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