A nurse is caring for a male Muslim client. The nurse and the provider discuss the importance of having a male provider care for the client. This discussion represents which of the following foundational critical care competencies?
The ability to insert an endotracheal tube
The ability to precept another nurse
The ability to collaborate as a team member
The ability to act as charge nurse
The Correct Answer is C
A. "The ability to insert an endotracheal tube": This competency refers to technical skills in airway management, not to addressing cultural concerns or preferences in care. The ability to insert an endotracheal tube is a skill that does not directly relate to the scenario of cultural sensitivity.
B. "The ability to precept another nurse": While precepting may involve teaching or guiding others, the discussion of gender preferences for care is related to cultural competency and collaboration in a healthcare setting, rather than mentoring another nurse.
C. "The ability to collaborate as a team member.": The scenario described highlights the need for the nurse to work with the provider and the client to address cultural concerns and ensure that the client feels comfortable with their care. Collaboration with the healthcare team is a key competency in providing culturally sensitive care.
D. "The ability to act as charge nurse" Being a charge nurse involves managing a team, but it is not specifically relevant to addressing the client's preferences regarding the gender of the provider. This issue is more about cultural competence and collaboration than charge nurse responsibilities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Provide the client with grooming supplies and a private area to bathe: After evidence collection and medical treatment are complete, allowing the client to bathe in privacy supports their dignity and helps restore a sense of control. This is a therapeutic and appropriate step prior to discharge.
B. Call the client's home for someone to pick up the client: Contacting someone without the client's consent could breach confidentiality and potentially endanger the client, especially if the assailant lives in the same household.
C. Retain the client's cell phone for evidence: The nurse does not have the authority to confiscate personal property like a cell phone. Evidence collection must follow legal protocols, typically involving law enforcement and forensic teams.
D. Send the client's clothes to the laundry before returning the items to the client: The client's clothing may be part of the forensic evidence. Washing or returning them before proper processing would compromise the legal chain of custody.
Correct Answer is A
Explanation
A. Notify the rapid response team due to the client’s clinical signs of a tension pneumothorax: The client presents with acute right-sided chest pain, dyspnea, hypotension, unilateral decreased breath sounds, hyperresonance, and agitation—classic signs of a tension pneumothorax, a life-threatening emergency requiring immediate intervention. Rapid response activation ensures rapid access to advanced airway and chest decompression support.
B. Reassure the client and administer prescribed analgesics for pain relief: The pain is a symptom of a serious underlying condition—possibly a collapsed lung. Administering pain medication could delay life-saving intervention.
C. Encourage the client to take deep breaths and use incentive spirometry: This intervention is appropriate for postoperative atelectasis, but it is contraindicated in tension pneumothorax. Increasing intrathoracic pressure through deep breaths may worsen the pneumothorax.
D. Elevate the head of the bed and increase oxygen to 4 L/min via nasal cannula: While increasing oxygen and elevating the head can help improve oxygenation, they do not treat the underlying cause. These supportive measures may be used after emergency intervention has been initiated.
E. Document the findings and re-evaluate in 15 minutes: Delaying intervention in this situation is unsafe. A tension pneumothorax can rapidly lead to cardiovascular collapse, so waiting even a few minutes may result in deterioration or death.
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