A charge nurse is anticipating the admission of four clients and planning their room assignments. Which of the following clients should the nurse assign to the room closest to the nurses' station?

A client who reports a severe migraine headache

A client who has a suspected diagnosis of tuberculosis (TB)

A client who sustained a head injury and is having periods of confusion

A client who has a history of atrial fibrillation and is on continuous ECG monitoring.

Answer and Explanation

The Correct Answer is C

A.   While a severe migraine headache is certainly uncomfortable and may require medication and observation, it does not typically necessitate constant monitoring. The client might benefit from a quieter room and can often be managed effectively with scheduled visits by nursing staff. Therefore, this client does not necessarily need to be closest to the nurses' station.
B.   A client with a suspected diagnosis of TB should be placed in a negative-pressure isolation room to prevent the spread of airborne pathogens. The proximity to the nurses' station is less critical for infection control purposes. Proper isolation procedures and equipment are more important for managing TB.
C.   A client with a head injury and periods of confusion is at risk for complications such as falls, disorientation, or worsening of their condition. This client requires close monitoring to ensure their safety and to promptly address any changes in their condition. Assigning this client to a room closest to the nurses' station ensures that the staff can frequently observe and quickly respond to any potential issues.

D.   A client on continuous ECG monitoring requires regular assessment of their heart rhythm and immediate intervention if there are any abnormalities. While close monitoring is needed, this client’s condition is managed with electronic equipment that can alert staff to significant changes, so proximity to the nurses' station is less critical compared to more acute or unpredictable conditions.

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Correct Answer is C

Explanation

A. Hospice care focuses on providing comfort and quality of life rather than curative treatment. The goal is to manage symptoms and provide supportive care when a cure is no longer possible. Therefore, hospice care typically does not include aggressive treatments.
B. Hospice care is generally initiated when a prognosis indicates that the client is expected to have 6 months or less to live if the illness runs its usual course. The 2-year timeframe mentioned here is too long for standard hospice eligibility, which is based on a more immediate prognosis of terminal illness.
C. Hospice care services often include respite care, which provides caregivers with temporary relief from their caregiving duties. This respite allows caregivers to take personal time, recharge, and manage their own needs, which is an important aspect of supporting those who are caring for terminally ill patients.
D. While hospice care does involve communication with the family about the client's care and condition, the primary focus of hospice care is on providing comfort and support to the patient.

A. Playing a computer video game with an adolescent who has sickle cell disease B. Transporting a school-age client who is in traction to another department C. Reading a book to a preschool client who has AIDS D. Rocking an infant who was admitted for croup

Correct Answer is B

Explanation

A. Playing a video game with an adolescent does not typically involve medical or technical procedures that require specialized training. This assignment focuses on providing companionship and support, which is appropriate for a volunteer, especially if the activity is aimed at providing comfort and distraction.
B. Transporting a patient who is in traction requires specific training and knowledge to ensure the patient’s safety and proper handling of the traction equipment. Volunteers typically do not have the necessary training to safely manage such tasks, and improper handling could lead to complications or injury.
C. Reading a book to a preschool-aged child is a non-medical, supportive activity that does not involve any clinical procedures or risks. It is an appropriate way for a volunteer to provide comfort and engagement to a child in a non-invasive manner.
D. Rocking an infant is a comforting and supportive activity that does not require medical expertise. Volunteers can safely provide physical comfort and emotional support to infants, as long as they follow any specific guidelines or protocols provided by the healthcare facility.

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A charge nurse is anticipating the admission of four clients and planning their room assignments. Which of the following clients should the nurse assign to the room closest to the nurses' station?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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