The nurse initiates the procedure to remove a client's peripherally inserted central catheter (PICC) when a code blue is called for another client in the unit who collapsed in the hallway while ambulating with the unlicensed assistive personnel (UAP). Which action should the nurse take?

Respond to the code.

Call for an assistant

Finish the procedure.

Close the room door.

Answer and Explanation

The Correct Answer is A

A.   A code blue indicates a life-threatening emergency. The nurse's primary responsibility is to attend to the collapsing client immediately. The PICC removal can be completed later.

B.   Calling for an assistant allows the nurse to ensure the PICC removal is completed safely while also responding to the emergency situation.
C.   Finishing the procedure would delay the response to the code, potentially compromising the care of the client experiencing the emergency.
D.   Closing the room door is not relevant to managing either situation safely.

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Correct Answer is D

Explanation

A. Regression involves reverting to behaviors from an earlier developmental stage, which is not demonstrated in this scenario.
B. Suppression is the conscious decision to delay paying attention to a thought or feeling, which is not evident here.
C. Compensation involves making up for a perceived deficiency by emphasizing another trait or skill, which does not apply to this situation.
D. Sublimation is the process of channeling unacceptable impulses into socially acceptable activities. By vigorously working on the leather belt, the client is redirecting potentially aggressive energy into a constructive and creative outlet.

A. Weigh the client and report any weight gain. B. Assess the client for weakness and fatigue. C. Report any client mention of pain or discomfort. D. Note and report the client's food and liquid intake during meals and snacks.

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

Explanation

A. Weighing the client and reporting weight gain is within the scope of UAP and important for monitoring fluid retention and weight changes in Cushing's syndrome.

B. Assessing for weakness and fatigue requires clinical judgment and should be performed by a nurse.
C. Reporting any client mention of pain or discomfort is appropriate for UAP, as it involves relaying information to the nurse for further assessment.
D. Noting and reporting the client's food and liquid intake is appropriate for UAP and necessary for monitoring nutritional status and intake.
E. Evaluating sleep disturbances involves assessment skills and should be performed by a nurse.

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The nurse initiates the procedure to remove a client's peripherally inserted central catheter (PICC) when a code blue is called for another client in the unit who collapsed in the hallway while ambulating with the unlicensed assistive personnel (UAP). Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is participating in an anger management assignment asks to make a leather belt in occupational therapy. The client begins pounding the leather vigorously with a mallet to imprint designs on the belt. Which defense mechanism is the client using?

Correct Answer is D

Explanation

The nurse is managing the care of a client with Cushing's syndrome. What intervention(s) should the nurse delegate to the unlicensed assistive personnel (UAP)? Select all that apply.

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

Explanation

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