A nurse is caring for a client on an acute mental health unit.
Complete the following sentence by using the list of options.
The nurse should delegate the client's
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Daily weights: This task can be delegated to ensure consistent monitoring of the client's weight, which is crucial for assessing nutritional status and progress.
Observing meals: The nurse should focus on observing meals to ensure the client is eating properly and not engaging in behaviors such as pocketing food or spitting it out, which are common in clients with eating disorders.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A chest x-ray is important to assess pneumonia but is not the priority when chest pain suggesting a cardiac event is present.
B. A 12-lead ECG is the priority to assess for myocardial ischemia or infarction, given the client’s description of chest pain.
C. Serum potassium is important for cardiac health but not the immediate priority in this scenario.
D. PT and INR are relevant for coagulation but do not address the immediate concern of potential myocardial infarction.
Correct Answer is A
Explanation
A. Identify possible precipitating factors related to the infections: The first step in addressing an increase in infections is to determine the underlying causes, which guides appropriate interventions.
B. Revise the current policy for catheter care: Incorrect. Revising policies may be necessary, but it should occur after identifying contributing factors.
C. Meet with providers to discuss measures to decrease the infections: Incorrect. While collaboration is important, it is not the first step.
D. Schedule nursing staff training for infection control procedures: Incorrect. Staff training is essential but should follow identification of the factors contributing to the infections.
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