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 B

Explanation

A. While delegation might contribute to more efficient use of resources and potentially reduce some costs, it is not the primary purpose of delegation. The main goal of delegation is to manage tasks and responsibilities more effectively, rather than focusing directly on cost reduction.
B. Delegation involves assigning specific tasks or responsibilities to others so that goals can be met more efficiently. It allows the delegating nurse to entrust certain tasks to others, enabling the overall objectives of patient care and unit management to be achieved effectively. This statement captures the essence of delegation as it involves empowering others to carry out tasks to achieve a common goal.
C. While delegation can help ensure that resources are used appropriately by assigning tasks to the right individuals, this statement is more about resource management rather than the primary purpose of delegation itself.
D. Delegation itself does not specifically promote discharge teaching activities. While tasks related to discharge teaching can be delegated, the primary purpose of delegation is broader, focusing on managing workload and achieving goals by assigning tasks to others.

A. A private room in a quiet location on the unit B. A seclusion room until the client's activity level becomes more subdued. C. A semi-private room with a roommate who has a similar diagnosis D. A private room close to the nursing station

Correct Answer is D

Explanation

A. While a quiet environment is generally desirable for patients, a client in a manic phase often experiences increased energy and agitation. A quiet room might not adequately address their need for constant monitoring.
B. Seclusion should be used as a last resort and only in cases where the client poses an immediate danger to themselves or others. It is not appropriate for routine management of mania.
C. While it might seem helpful to pair patients with similar conditions, a manic patient can be disruptive to roommates, affecting their well-being and potentially escalating their own symptoms.
D. This option is the most appropriate. A private room provides necessary privacy and space, while proximity to the nursing station allows for close observation and rapid intervention if needed.

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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

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Correct Answer is D

Explanation

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