The LPN is admitting a new patient to the facility. Which of the following is the priority nursing action for a patient who is confused in regards to safety?
Make sure to tell them to push the call light
Move the patient closer to the nursing station
Prevent the patient from ever being alone
Avoid any activities to prevent possible injuries
The Correct Answer is B
Choice A reason: Teaching a confused patient to push the call light is ineffective because confusion may prevent them from remembering or using the call system appropriately.
Choice B reason: Moving the patient closer to the nursing station is the priority action because it allows for frequent observation and rapid intervention if safety issues arise. This minimizes risk while respecting patient autonomy.
Choice C reason: Preventing the patient from ever being alone is unrealistic and impractical. Continuous supervision is not feasible and may cause distress.
Choice D reason: Avoiding all activities to prevent injuries is inappropriate because it restricts mobility and independence, potentially worsening confusion and physical decline.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This statement is correct. Nurses must be aware of boundaries because they handle sensitive personal information. Maintaining boundaries ensures professionalism and protects patient privacy.
Choice B reason: Dating a client is unethical and violates professional boundaries. Recognizing this is correct and does not indicate a need for further education.
Choice C reason: Sharing personal family difficulties with a client crosses professional boundaries. It shifts the focus away from the patient and places emotional burden on them. This statement indicates a need for further education because it demonstrates a misunderstanding of appropriate nurse-patient boundaries.
Choice D reason: Accepting gifts from clients is generally discouraged because it can create conflicts of interest or favoritism. Recognizing this is correct and aligns with professional standards.
Correct Answer is A
Explanation
Choice A reason: This is correct because CAUTIs are associated with significant morbidity and mortality. Auditing infection rates helps identify trends, evaluate prevention strategies, and improve patient safety. Hospitals monitor CAUTIs to reduce complications and improve outcomes.
Choice B reason: This is incorrect because CAUTIs can be prevented through evidence-based practices such as aseptic insertion, timely removal, and proper catheter care. Suggesting they cannot be prevented reflects poor understanding of infection control.
Choice C reason: This is incorrect because CAUTIs increase, not decrease, the length of hospital stay. Infections prolong recovery and require additional treatment, leading to extended hospitalization.
Choice D reason: This is incorrect because CAUTIs increase healthcare costs due to extended stays, additional treatments, and potential complications. Preventing CAUTIs reduces costs, but the primary reason for auditing is patient safety and complication reduction.
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