20) A nurse is developing a discharge plan for a client who is postoperative and will require a wheelchair in the home. The nurse should place a referral to which of the following resources to assist the client with this need?

Occupational therapy

Social services

Home health

Physical therapy

Answer and Explanation

The Correct Answer is B

a.   Occupational therapy focuses on assisting individuals in performing activities of daily living and may not directly address wheelchair mobility needs.
b.   Social services may provide assistance with community resources and support including sourcing for a wheelchair.
c.   Home health services may provide skilled nursing care in the home but may not directly address wheelchair mobility needs.
d.   Physical therapy specializes in mobility and rehabilitation but arent the best placed to provide the client with resources on access to a wheelchair.

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Correct Answer is D

Explanation

a. Clients with compromised immunity are often placed in protective environments, but not necessarily in negative air pressure rooms. These rooms are typically reserved for clients on airborne precautions.
b. An N95 respirator is required for airborne precautions, not droplet precautions. A regular surgical mask is sufficient for droplet precautions.

c. Contact precautions primarily focus on preventing the transmission of pathogens through direct or indirect contact. Visitors are usually instructed to wear personal protective equipment (PPE) when entering the room, but the focus is on healthcare workers wearing PPE during patient care.
d. A client on airborne precautions (e.g., for tuberculosis or measles) should wear a mask (preferably an N95 or equivalent) when leaving the room to prevent spreading airborne pathogens

A. A client is refusing care from assistive personnel of the opposite gender B. No transport assistance is available to take a client to physical therapy C. Two nurses had a heated disagreement about a scheduling issue D. Three staff members have called to say they will be absent

Correct Answer is D

Explanation

A. A client refusing care from assistive personnel of the opposite gender is important and must be handled to respect the client's preferences, but it does not immediately impact the overall functioning of the unit or client safety. This situation can be addressed after the staffing issue.

B. No transport assistance being available for a client to go to physical therapy is a logistical issue that can be resolved with alternative arrangements, such as rescheduling the therapy or finding different personnel for transport. It is not a critical priority compared to staffing shortages.

C. A heated disagreement between two nurses over a scheduling issue is a team dynamic problem that requires attention, but it is not urgent enough to affect patient safety or unit operations in the immediate term. Resolving staffing shortages takes precedence.

D. Addressing the absence of three staff members is critical as it directly affects patient care and safety. A shortage in staff can lead to unsafe working conditions, delays in client care, and an increased risk of errors. Ensuring adequate staffing is the highest priority in this situation

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20) A nurse is developing a discharge plan for a client who is postoperative and will require a wheelchair in the home. The nurse should place a referral to which of the following resources to assist the client with this need?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teachings?

Correct Answer is D

Explanation

A nurse manager is receiving report and is faced with the following situations that require intervention. Which of the following should the nurse manager address first?

Correct Answer is D

Explanation

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