A home health nurse is reviewing messages from a group of clients. Which of the following clients should the nurse contact first?
A mother who reports that her son vomited after a dose of methylphenidate
A client who has COPD and reports an oxygen saturation of 90%
A client who reports that her new colostomy stoma appears purple
A client who reports feeling a vibration in his new internal arteriovenous graft for dialysis
The Correct Answer is C
The mother reporting vomiting in choice A may be concerning, but it is a known side effect of methylphenidate, and the client should be monitored for any further symptoms. A client who has COPD and reports an oxygen saturation of 90%. An oxygen saturation of 90% in COPD is within normal due to the chronic hypoxia.The purple appearance of a colostomy stoma in choice C may indicate ischemia or necrosis, and is an urgent concern.The feeling of a vibration in a new arteriovenous graft for dialysis in choice D may indicate an arterial steal syndrome, but it is not a medical emergency, and the client can be instructed to follow up with the provider. Therefore, the correct answer is choice B.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice D because, "Household contacts will receive prophylactic antibiotics." The nurse should include in the teaching that household contacts of the child with pertussis will receive prophylactic antibiotics to prevent the spread of the disease. This answer is correct because pertussis is a highly contagious respiratory illness that spreads through respiratory droplets, and prophylactic antibiotics can help prevent the spread of the disease.
Choice A is wrong because is incorrect because a dehumidifier will not prevent the spread of pertussis.
Choice B is wrong because is incorrect because pertussis does not cause a rash.
Choice C is wrong because is incorrect because herd immunity occurs when a large percentage of the population is immunized against a disease, and pertussis is preventable with vaccination.
Correct Answer is D
Explanation
The correct answer is Choice D because, "Coordinator." The nurse case manager is functioning as a coordinator when arranging for the delivery of medical equipment to the client's home. A coordinator is responsible for organizing and coordinating various aspects of care, including delivery of equipment, scheduling appointments, and communicating with healthcare providers. A consultant (Choice A is wrong because) provides expert advice on a specific topic, while an advocate (Choice B is wrong because) speaks on behalf of the client to ensure their needs are met. A systems allocator
(Choice C is wrong because) is responsible for managing resources and allocating them appropriately.
Choice A is wrong because: A consultant provides expert advice on a specific topic.
Choice B is wrong because: An advocate speaks on behalf of the client to ensure their needs are met.
Choice C is wrong because: A systems allocator is responsible for managing resources and allocating them appropriately.
For Choice A is wrong because, providing expert advice may be part of the nurse case manager's role, but it is not the primary role when arranging for the delivery of medical equipment to the client's home. For Choice B is wrong because, while advocacy is an important aspect of nursing, it is not the correct role for the nurse case manager in this situation. For Choice C is wrong because, a systems allocator is responsible for managing resources at a higher level, such as allocating resources across multiple facilities or organizations.
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