14) A nurse is preparing to discharge a client who has end- stage heart failure. the client's partner tells the nurse she can no longer handle caring for the client. which of the following actions should the nurse take?

Ask the provider to delay the client's discharge home for a few more days.

Recommend the partner place the client in a long- term care facility.

Contact the case manager to discuss discharge options.

Request another family member assist the client's partner with care.

Answer and Explanation

The Correct Answer is C

a.   Delaying the client's discharge without exploring other options may not address the partner's concerns and could lead to further issues.
b.   While placing the client in a long-term care facility may be an option, it should be discussed with the case manager and considered alongside other options.
c.   Contacting the case manager is appropriate to discuss the partner's concerns and explore alternative discharge arrangements that meet the client's needs.
d.   Requesting another family member to assist may not be feasible or address the partner's ability to provide care.

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Correct Answer is A

Explanation

A. Helping the assistive personnel immediately ensures the client’s safety, which is the nurse’s top priority. Incorrect transfer techniques can lead to falls or injury, so the nurse must intervene right away to prevent harm.

B. Demonstrating proper transfer technique is important for education, but it should occur after the immediate safety issue is resolved.

C. Instructing the AP to request assistance when unsure is appropriate teaching, but it does not address the immediate risk to the client during the transfer.

D. Referring the AP to the procedure manual is not a priority in an active situation where the client could be injured. Education and reference can occur later.

A. Decreased level of consciousness B. Increased temperature C. Generalized rash over the trunk D. Report of photophobia

Correct Answer is A

Explanation

a. Decreased level of consciousness is a critical finding in a client with meningitis and may indicate worsening intracranial pressure or neurological deterioration, requiring immediate intervention.
b. While an increased temperature may indicate infection, it is not as immediately concerning as a decreased level of consciousness in a client with meningitis.
c. A generalized rash over the trunk may be present in some types of meningitis, but it is not as immediately urgent as a decreased level of consciousness.
d. Photophobia (sensitivity to light) is a common symptom of meningitis but may not require immediate intervention unless accompanied by other concerning neurological findings such as a decreased level of consciousness.

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14) A nurse is preparing to discharge a client who has end- stage heart failure. the client's partner tells the nurse she can no longer handle caring for the client. which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse manager observes assistive personnel (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?

Correct Answer is A

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Correct Answer is A

Explanation

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14) A nurse is preparing to discharge a client who has end- stage heart failure. the client's partner tells the nurse she can no longer handle caring for the client. which of the following actions should the nurse take?