An RN from the maternal-newborn unit is being floated to a medical-surgical unit. Which of the following clients should the charge nurse on the medical-surgical unit plan to assign to the RN?

A client who has acute pancreatitis

A client who is one-day postoperative following a total abdominal hysterectomy

A client who had a stroke and is to be admitted

A client who has terminal end-stage renal disease

Answer and Explanation

The Correct Answer is B

Rationale:

A. Acute pancreatitis may require specialized medical management that might be beyond the RN’s experience from a different unit.

B. A client one-day postoperative following a total abdominal hysterectomy is appropriate for an RN with general surgical experience, as it involves standard postoperative care.

C. A client who had a stroke may require more specialized neuro care and assessment than the RN might be familiar with.

D. Terminal end-stage renal disease requires specialized care and experience in managing complex chronic conditions.

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Correct Answer is B

Explanation

Rationale:

A. A client who has Guillain-Barre syndrome requires close monitoring and specialized care due to progressive weakness and potential respiratory issues. This client's care may involve more complex needs that are beyond the AP's scope.

B. A client who has a lumbosacral spinal tumor is likely to have fewer immediate needs related to eating assistance, making this task appropriate to delegate to the AP. The client’s primary concern may be mobility or pain management, but meal assistance is a routine task.

C. A client who has systemic sclerosis may have issues with gastrointestinal motility and swallowing, requiring more careful feeding assistance and monitoring, which should be performed by the nurse.

D. A client who has amyotrophic lateral sclerosis (ALS) requires specialized care for swallowing difficulties and respiratory issues, making it inappropriate to delegate meal assistance to the AP.

A. Maintaining a client tracking system B. Performing concise client assessment C. Preventing cross-contamination of clients D. Transferring a client to the discharge location

Correct Answer is D

Explanation

Rationale:

A. Maintaining a client tracking system is crucial for managing large numbers of clients during a disaster.

B. Performing concise client assessment is essential for determining the severity of each client’s condition and prioritizing care.

C. Preventing cross-contamination of clients is important to prevent the spread of toxic substances.

D. Transferring a client to the discharge location is the lowest priority during a disaster, as immediate care and management of acute conditions take precedence over discharge planning.

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An RN from the maternal-newborn unit is being floated to a medical-surgical unit. Which of the following clients should the charge nurse on the medical-surgical unit plan to assign to the RN?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse and an assistive personnel (AP) are providing care for four clients who were admitted to the medical-surgical unit on the previous shift. The nurse should delegate meal assistance for which of the following clients to the AP?

Correct Answer is B

Explanation

A nurse is participating in a disaster simulation in which a toxic substance is released into a crowded stadium. Multiple clients are transported to the facility. Which of the following activities would be the lowest priority for the nurse?

Correct Answer is D

Explanation

A nurse on the pediatric unit is providing room assignments for children who are to be admitted to the unit. The nurse should plan to place a child who is postoperative from an appendectomy with which of the following clients?

A volunteer assigned to the pediatric unit reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?

A nurse is supervising a licensed practical nurse (PN) who is providing care to a client who is postoperative. Which of the following statements by the client requires the nurse to follow up with the PN?

A nurse in a provider's office is reviewing the laboratory findings for a client who is scheduled for surgery. Which of the following findings requires follow up by the nurse?

A nurse is caring for four clients who are postoperative from surgery 24 hr ago. At 1200 the nurse assesses the clients. Which of the following clients is the nurse's priority?

A nurse is triaging clients following a mass casualty event. Which of the following clients should the nurse assess first?

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