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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Free Nursing Study Resources

Correct Answer is B

Explanation

A. This type of leader has a hands-off approach and provides minimal guidance or direction.
B. These leaders inspire and motivate followers to achieve extraordinary outcomes. They focus on building relationships, fostering creativity, and encouraging individual and team growth. This often involves identifying shared values to create a sense of purpose and unity.
C. This leader focuses on the exchange of rewards for performance and often uses corrective action for errors.
D. This leader relies heavily on policies and procedures to direct work and relationships.

A. "An example of a sentinel event is administering incompatible blood products to a client." B. "An example of a sentinel event is administering client medications 30 minutes late." C. "An example of a sentinel event is documenting vital signs at the wrong time in the client's electronic health record." D. "An example of a sentinel event is administering a prescribed sedative to a client for insomnia."

Correct Answer is A

Explanation

A. Administering incompatible blood products is a significant medical error that can result in severe patient harm, including hemolytic transfusion reactions, which can be life-threatening. This type of incident qualifies as a sentinel event because it involves serious injury or death and necessitates immediate investigation and corrective actions to prevent recurrence.
B. While administering medications late is a medication error and can affect patient outcomes, it does not typically qualify as a sentinel event unless it results in serious harm or death. Sentinel events are generally those with more severe consequences or potential for significant harm.
C. Documenting vital signs at the wrong time is a documentation error and could potentially lead to issues in patient care. However, it is not classified as a sentinel event unless it results in significant harm or jeopardizes the patient's safety.
D. Administering a prescribed sedative for insomnia, when done according to a valid prescription and proper protocols, is a routine medical intervention and does not typically constitute a sentinel event. Sentinel events involve unexpected and serious outcomes rather than standard clinical procedures when performed correctly.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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