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

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

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

A client who is 24 hr postoperative following surgical reduction of a hip fracture and reports a pain level of 7

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

Answer and Explanation

The Correct Answer is B

A.   A client ready for discharge, if stable and prepared for discharge, does not require immediate assessment.
B.   Restlessness in a client with Alzheimer's and bacterial pneumonia could indicate a change in condition, potentially signaling an urgent issue that needs immediate assessment.
C.   While pain management is important, the sudden onset of restlessness in a client with cognitive impairment and pneumonia takes priority.
D.   An elevated fasting blood glucose level in a newly admitted diabetic client requires attention but might not be as immediately critical as the acute change in behavior seen in option B.

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

Explanation

A. Identify the medication name and dosage administered to the client in the report: Providing specific details about the medication involved is crucial for accurately documenting the incident.
B. Making a copy of the incident report for personal record keeping: While keeping a personal copy might seem practical, the official incident report should be filed according to institutional policies. Personal record keeping might not align with these policies.
C. Include the time the medication error occurred in the report: Documenting the time helps in understanding the sequence of events and aids in investigating the error.
D. Obtaining an order from the client's provider to complete the report: Typically, healthcare providers do not need to issue an order for a nurse to complete an incident report; it's part of the facility's standard reporting process.
E. It is not necessary to place a copy of the report in the client's medical record.

A. Schedule several sessions of the program. B. Develop learning objectives for the program C. Identify what skills to teach the staff members D. Conduct program evaluation with staff members

Correct Answer is C,B,A,D

Explanation

1. C. Identify what skills to teach the staff members
2. B. Develop learning objectives for the program
3. A. Schedule several sessions of the program
4. D. Conduct program evaluation with staff members

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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

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

A nurse is preparing an educational program for staff members regarding a new intravenous pump. Identify the sequence of actions the nurse should take when developing the program. (Move the steps, placing them in the selected order of performance. Use all the steps.)

Correct Answer is C,B,A,D

Explanation

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