An assistant nurse manager is making assignments for the next shift.
Which patient should the assistant nurse manager assign to a nurse with 6 months of experience and who has been floated from the surgical unit to the medical unit?

69-year-old with COPD who is ventilator dependent.

68-year-old who just returned from bronchoscopy and biopsy.

58-year-old on airborne precautions for tuberculosis (TB).

72-year-old who needs teaching about the use of incentive spirometry.

Answer and Explanation

The Correct Answer is D

Choice A rationale

A ventilator-dependent patient requires complex and specialized respiratory care, including ventilator management, suctioning, and frequent assessments for complications such as pneumonia or acute respiratory distress syndrome. This level of care demands advanced knowledge and experience in critical care, which a nurse with only six months of experience floated from a surgical unit may not possess, potentially compromising patient safety.

Choice B rationale

A patient recently returned from a bronchoscopy and biopsy is at risk for immediate post-procedure complications such as hemorrhage, pneumothorax, or respiratory distress. These potential acute events require prompt and skilled assessment, intervention, and monitoring, which necessitate an experienced nurse with a strong understanding of respiratory physiology and post-procedural care, beyond what a novice nurse might have.

Choice C rationale

A patient on airborne precautions for tuberculosis requires meticulous adherence to infection control protocols to prevent disease transmission. This includes proper use of N95 respirators, negative pressure rooms, and visitor management. While important, managing airborne precautions is a critical skill. However, a nurse with only six months of experience and floated from a surgical unit may not have sufficient experience with medical unit patient acuity or the complexities of managing a communicable disease.

Choice D rationale

Teaching about incentive spirometry is a routine and relatively low-risk intervention, focusing on patient education and demonstrating proper technique. This task aligns well with the skill set of a nurse with six months of experience, even if floated from another unit, as it does not typically involve complex assessments or high-acuity interventions, making it an appropriate assignment for skill reinforcement and patient engagement.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["0.3"]

Explanation

Step 1 is: 25 mg ÷ (80 mg ÷ 1 mL) = 0.3125 mL.

Step 2 is: Round 0.3125 mL to the nearest tenth, which is 0.3 mL. Answer: 0.3 mL.

A. Atraumatic care reduces client and caregiver stress, fear, and anxiety. B. Atraumatic care removes control from the client and caregivers, thereby reducing stress. C. Atraumatic care reduces anxiety while enabling faster healing. D. Atraumatic care minimizes the time nurses need to spend with the client and caregivers.

Correct Answer is ["A","C"]

Explanation

Choice A rationale

Atraumatic care focuses on minimizing physical and psychological distress for both the client and their caregivers. By employing strategies such as therapeutic play, age-appropriate explanations, and parental involvement, it reduces fear, anxiety, and stress responses, which can negatively impact physiological outcomes and coping mechanisms. This approach promotes a sense of security and control.

Choice B rationale

Atraumatic care aims to *enhance* client and caregiver control, not remove it. Empowering clients and families by providing information, involving them in decision-making, and respecting their preferences is a core principle. This approach fosters a sense of partnership and autonomy, which inherently reduces feelings of helplessness and stress, improving overall well-being.

Choice C rationale

By minimizing emotional and physical distress, atraumatic care helps to reduce the physiological stress response, including the release of cortisol and catecholamines. This reduction in stress mediators can improve immune function and reduce inflammation, thereby promoting a more conducive environment for healing and recovery, leading to potentially faster resolution of illness or injury.

Choice D rationale

Atraumatic care often requires *more* time initially from nurses to establish rapport, provide thorough explanations, engage in therapeutic play, and involve families in care. While it can lead to improved long-term outcomes and potentially fewer complications, its immediate implementation involves an investment of time to ensure comfort and understanding, not a reduction.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

An assistant nurse manager is making assignments for the next shift. Which patient should the assistant nurse manager assign to a nurse with 6 months of experience and who has been floated from the surgical unit to the medical unit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is prescribed Methylprednisolone 25mg IV every 6 hours. The vial (after reconstitution) reads Methylprednisolone 80mg/mL. How many milliliters will be drawn up in the syringe? (Use a leading zero if it applies, Round to the nearest tenth, Do not use a trailing zero).

Correct Answer is ["0.3"]

Explanation

A nurse is teaching a newly licensed nurse about the benefits of atraumatic care. Which of the following statements by the newly licensed nurse indicates that the teaching was effective?

Correct Answer is ["A","C"]

Explanation

A nurse is teaching a student nurse about situations of abuse and being a mandatory reporter. Which of the following statements by the student nurse demonstrates an understanding of the teaching?

A nurse is caring for a group of clients diagnosed with polycystic kidney disease (PKD). While teaching about ways to slow the progression to end-stage renal disease (ESRD), which of the following topics would be most important for the nurse to include?

A nurse is caring for a client who has named someone to serve as their health care proxy. The client states they need clarification about this part of the advance directive. Which of the following statements by the client indicates that need for clarification?

Which of the following maneuvers is most commonly used first to relieve shoulder dystocia during childbirth?

An assistant nurse manager is making assignments for the next shift.
Which patient should the assistant nurse manager assign to a nurse with 6 months of experience and who has been floated from the surgical unit to the medical unit?