A nurse is assigned a group of clients at the start of the shift. Which of the following clients should the nurse plan to see first?
A client who wants a bath.
A client who asks to review the instructions he received about his new prescription.
A client who needs a referral for home health services.
A client who requests pain medication.
The Correct Answer is D
The nurse should prioritize the client who requests pain medication as their need is likely the most urgent. Pain management is an important aspect of nursing care and addressing the client's pain should be a priority.
The other clients have needs that are important but not as urgent as the client in pain. The client who wants a bath can wait until the nurse has addressed more pressing needs. The client who asks to review instructions about their new prescription can also wait, as long as they are not in immediate danger. The client who needs a referral for home health services can also wait until the nurse has addressed more urgent needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","F"]
Explanation
Situations that can lead to a tort against a nurse include repeating a rumor about a patient's personal life in a staff meeting, telling friends something unusual about a patient that was noted in the patient's chart, and forcing a patient to take medication against their will. These actions can result in legal action against the nurse for invasion of privacy or battery.
Option A is incorrect because referring a stranger to the patient or their family for details regarding the patient is an appropriate action.
Option Bis incorrect because respecting a patient's right to refuse treatment on religious grounds is an appropriate action.
Option Eis incorrect because placing an alarm on the bed of a patient prone to falling is an appropriate action to ensure their safety.
Correct Answer is B
Explanation
The nurse should include the statement "Delegation permits a designated individual to meet a goal on your behalf" in the teaching. This is because delegation allows the nurse to assign tasks to an AP who has the appropriate skills and knowledge to complete them, while still maintaining accountability for the outcome of the task.
Option A is incorrect because accountability for a delegated task remains with the delegator, not the AP.
Option C is incorrect because discharge teaching activities for clients cannot be delegated to an AP as they require nursing judgment and assessment.
Option D is incorrect because it is important for the nurse to follow up on delegated tasks even if the AP has completed them before to ensure that they have been completed correctly and that the client's needs have been met.
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