The charge nurse is making client assignments in the Intensive Care Department. The healthcare team consists of one nurse with 10 years experience, one nurse with 5 years experience, and a new graduate nurse who just completed a 12-week internship. Which client should the nurse assign to the new graduate nurse?
A client with chest tubes secondary to a stab wound to the chest.
A client in end-stage liver failure who is experiencing esophageal bleeding.
A client with multisystem failure secondary to a motor vehicle collision.
A client with Adult Respiratory Distress Syndrome who is on a ventilator.
The Correct Answer is A
Choice A reason: A client with chest tubes secondary to a stab wound to the chest is the best client to assign to the new graduate nurse. The client has a stable and predictable condition that requires routine care and monitoring. The client does not have any complex or unstable problems that may require advanced skills or interventions. The new graduate nurse has the knowledge and skills to manage the client's chest tubes and wound care.
Choice B reason: A client in end-stage liver failure who is experiencing esophageal bleeding is not the best client to assign to the new graduate nurse. The client has a critical and unpredictable condition that requires frequent assessment and intervention. The client may have complications such as hepatic encephalopathy, coagulopathy, ascites, or sepsis that may require advanced skills or interventions. The new graduate nurse may not have the experience or confidence to handle the client's situation.
Choice C reason: A client with multisystem failure secondary to a motor vehicle collision is not the best client to assign to the new graduate nurse. The client has a complex and unstable condition that requires intensive care and monitoring. The client may have multiple injuries, organ damage, or infections that may require advanced skills or interventions. The new graduate nurse may not have the competence or judgment to deal with the client's condition.
Choice D reason: A client with Adult Respiratory Distress Syndrome who is on a ventilator is not the best client to assign to the new graduate nurse. The client has a severe and unstable condition that requires mechanical ventilation and hemodynamic support. The client may have complications such as pulmonary edema, hypoxemia, or septic shock that may require advanced skills or interventions. The new graduate nurse may not have the expertise or skill to manage the client's ventilator and hemodynamic status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Listening for the presence of bowel sounds is not a task that the home health aide can perform. This is a nursing assessment that requires specialized skills and equipment.
Choice B reason: Administering a prescribed dose of a laxative is not a task that the home health aide can perform. This is a nursing intervention that requires medication administration knowledge and authority.
Choice C reason: Teaching the client about foods high in fiber is not a task that the home health aide can perform. This is a nursing intervention that requires education and evaluation skills.
Choice D reason: Assisting the client to drink warm prune juice is a task that the home health aide can perform. This is a simple and safe measure that can help relieve constipation by stimulating bowel movements.
Correct Answer is B
Explanation
Choice A reason: This is not a relevant information to complete the report. The police department may want to interview the client about the MVC, but this is not a priority for the nurse or the healthcare provider.
Choice B reason: This is a relevant information to complete the report. The neurovascular assessments below the fracture are important to monitor the blood flow and nerve function of the affected limb. Normal findings indicate that the fracture and the surgery did not cause any complications or impairments.
Choice C reason: This is not a relevant information to complete the report. The absence of nausea or vomiting during the PACU recovery stay is a positive outcome, but it does not affect the current pain management or the postoperative care of the client.
Choice D reason: This is not a relevant information to complete the report. The family's request for a private room is a matter of preference and availability, but it does not influence the clinical status or the treatment plan of the client.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.