The receptionist working in an outpatient clinic provides the nurse with a list of clients who need a return call from the nurse. The nurse should call the client with which description first?
Hepatitis A complaining of arms and legs itching.
Rheumatoid arthritis having trouble sleeping.
Spinal osteomyelitis with complaint of nausea.
Right leg cast with a tingling down the leg.
The Correct Answer is D
Choice A rationale: This is not an emergency compared to a client with a right cast leg reporting tingling on the leg.
Choice B rationale: This is not an emergency compared to a client with a right cast leg reporting tingling on the leg.
Choice C rationale: This is not an emergency compared to a client with a right cast leg reporting tingling on the leg.
Choice D rationale: This could indicate impaired circulation or nerve compression, which could lead to permanent damage or loss of limb if not treated promptly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Instructing the UAP to ask the visitor to get off the client's bed is not within the UAP's scope of practice and may cause conflict.
Choice B rationale: While education about infection control and respect for the client's environment is important, it's essential to prioritize the client's autonomy and preferences regarding their visitors.
Choice C rationale: Clients have rights to decide who can be in their personal space, including their bed. As long as the visitor is not posing a risk to the client's safety or health, the client's wishes should be respected.
Choice D rationale: Notifying the charge nurse about the visitor lying on the bed is a reasonable action, but the immediate intervention is to ask the visitor to get off the bed.
Correct Answer is C
Explanation
Choice A rationale: Administering two medications to the same client at the wrong time is a serious error, but it may not be the most critical issue for reporting to the Peer Review Committee (PRC).
Choice B rationale: Changing work assignments without prior approval may be a workplace issue but does not directly endanger patient safety, so it may not be the primary focus of the PRC.
Choice C rationale: Serving a diet tray to a client who is NPO is a serious error that can lead to complications and warrants reporting to the PRC.
Choice D rationale: Documenting data in the clinical record before assessing the client's condition may indicate a documentation error, but it does not pose an immediate risk to the patient's well-being.
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