A nurse is caring for four clients. Which of the following clients should the nurse assess first?

A client who has Alzheimer’s disease and bacterial pneumonia with newly onset restlessness

A client who is newly admitted with diabetes mellitus and whose fasting blood glucose level is 200 mg/dL

A client who is 24 hr postoperative following surgical reduction of a hip fracture and reports a pain level of 7 on a scale from 0-10

A client who is 3 days postoperative following abdominal surgery and is ready for discharge

Answer and Explanation

The Correct Answer is A

a.   The client with Alzheimer's disease and bacterial pneumonia experiencing newly onset restlessness may indicate a change in their condition, such as worsening infection or delirium, which requires immediate assessment and intervention to address their underlying medical needs.
b.   While hyperglycemia in a newly admitted client with diabetes mellitus is concerning, it does not typically require immediate assessment unless accompanied by signs of diabetic ketoacidosis or other acute complications.
c.   Although the client postoperative from hip fracture reduction reporting a pain level of 7 requires attention, it is not as urgent as assessing the client with newly onset restlessness, which may indicate a more acute issue.
d.   The client who is 3 days postoperative and ready for discharge does not require immediate assessment compared to the client with newly onset restlessness, whose condition may be deteriorating.

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Correct Answer is ["A","C"]

Explanation

a. Including the time the medication error occurred is important for accurately documenting the sequence of events and providing context for further investigation or review.
b. Making a copy of the incident report for personal record-keeping may not be necessary as the incident report is typically filed in the institution's records system.
c. Identifying the medication name and dosage administered to the client is essential for understanding the nature and severity of the medication error and guiding subsequent actions or interventions.
d. Placing a copy of the completed report in the client's medical record, which is inappropriate because incident reports are internal documents and not part of the client's health record.
e. Obtaining an order from the client's provider to complete the report may not be necessary as incident reporting is typically a standard practice and does not require provider authorization.

A. Determine what skills to teach the staff members B. Develop learning objectives for the program C. Identify resources available to meet objectives D. Review the staff member's evaluation of the program

Correct Answer is ["A","B","C","D"]

Explanation

b. Develop learning objectives for the program: This step is essential as it sets the foundation for what the educational program aims to achieve. Learning objectives define what participants should be able to do or know after completing the program. They guide the content and structure of the educational session.
a. Determine what skills to teach the staff members: Once the learning objectives are established, the nurse can identify the specific skills or knowledge areas that need to be taught to achieve those objectives. This step involves analyzing the functionality of the new intravenous pump and identifying the key competencies that staff members need to develop.
c. Identify resources available to meet objectives: After determining the skills to teach, the nurse should assess the resources available to deliver the educational content effectively. This may include educational materials, equipment, personnel, and facilities needed to conduct the training session.
d. Review the staff member's evaluation of the program: Evaluation is crucial to assess the effectiveness of the educational program and identify areas for improvement. By reviewing staff members' evaluations of the program, the nurse can gather feedback on the content, delivery, and overall impact of the training session, allowing for continuous quality improvement in future educational endeavors.

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A nurse is caring for four clients. Which of the following clients should the nurse assess first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

26) a nurse is preparing to complete an incident report regarding a medication error which of the following actions should the nurse plan to take? select all that apply

Correct Answer is ["A","C"]

Explanation

29A nurse is preparing an educational program for staff members 2 a new intravenous pump. Identify the sequence of actions the nurse should take when developing the program. (Move the steps into the box on the right, placing them in order of performance).

Correct Answer is ["A","B","C","D"]

Explanation

A nurse in an ambulatory care setting is orienting a newly licensed nurse who is preparing to return a call to a client. The nurse should explain that which of the following is an objective of telehealth?

A nurse working in an emergency department is performing triage. To which of the following clients should the nurse assign priority?

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A nurse manager is receiving report and is faced with the following situations that require intervention. Which of the following should the nurse manager address first?

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