A charge nurse is supervising the care of a new nurse. Which action by a new nurse indicates the charge nurse needs to intervene?

Making a clinical decision in the patient's best interest.

Making a clinical decision based on previous shift assessments.

Making an ethical clinical decision

Making an informed clinical decision

Answer and Explanation

The Correct Answer is B

A. Making a clinical decision in the patient's best interest: Making decisions in the patient’s best interest is an essential part of nursing practice and demonstrates good clinical judgment.

B. Making a clinical decision based on previous shift assessments. Nursing assessments should be conducted for each shift, as a patient’s condition can change rapidly. Relying on previous assessments without reassessing can lead to missed changes in the patient’s status, potentially causing harm.

C. Making an ethical clinical decision. Ethical decision-making is an integral part of nursing practice and aligns with professional standards. There is no need for intervention if the decision is ethical.

D. Making an informed clinical decision. Informed clinical decision-making is based on current patient data, clinical guidelines, and critical thinking. This is a correct approach to nursing care and does not require intervention.

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Correct Answer is A

Explanation

A. Report by patient that something has given way: A patient reporting a "giving way" sensation is a classic early sign of dehiscence, indicating that the wound edges are separating.

B. Drainage that is odorous and purulent: Purulent (pus-like) and foul-smelling drainage suggests infection, not necessarily dehiscence. Infection can contribute to dehiscence, but it is not the defining feature.

C. Protrusion of visceral organs through a wound opening: Evisceration occurs when internal organs protrude through the incision. Dehiscence is partial or complete separation of the wound edges without organ protrusion.

D. Chronic drainage of fluid through the incision site: Persistent drainage suggests a fistula (abnormal connection between tissues), infection, or poor wound healing, rather than wound dehiscence.

Correct Answer is ["1170"]

Explanation

Step 1: Convert cups and ounces to mL (1 cup = 240 mL, 1 oz = 30 mL):

Coffee: 1 cup = 240 mL
Orange juice: 4 oz × 30 mL = 120 mL
Water (first): 3 oz × 30 mL = 90 mL
Flavored gelatin: 1 cup = 240 mL
Tea: 1 cup = 240 mL
Broth: 5 oz × 30 mL = 150 mL
Water (second): 3 oz × 30 mL = 90 mL

Step 2: Add all the mL values together:
240 + 120 + 90 + 240 + 240 + 150 + 90 = 1,170 mL

Final Answer: 1,170 mL

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A charge nurse is supervising the care of a new nurse. Which action by a new nurse indicates the charge nurse needs to intervene?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which finding will alert the nurse to a potential wound dehiscence?

Correct Answer is A

Explanation

Correct Answer is ["1170"]

Explanation

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