A nurse is orienting a newly licensed nurse on the neurological unit. Which of the following clients should the nurse assign to the newly licensed nurse?

A client who has a brain tumor and is admitted for chemotherapy

A client who has multiple sclerosis and ataxia

A client who sustained a concussion and is being monitored for complications

A client who has Guillain-Barré syndrome and a tracheostomy

Answer and Explanation

The Correct Answer is C

A. A client with a brain tumor and chemotherapy may require more complex assessments and management, making them less suitable for a newly licensed nurse.

B. A client with multiple sclerosis and ataxia may have fluctuating symptoms that require more experienced nursing care.

C. A client who sustained a concussion and is being monitored for complications is stable and can be appropriately assigned to a newly licensed nurse who can learn to monitor for signs of deterioration.

D. A client with Guillain-Barré syndrome and a tracheostomy requires specialized skills and knowledge in airway management, making them inappropriate for a newly licensed nurse.

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Correct Answer is D

Explanation

A. Requesting a consultation only after several treatments may delay appropriate care. Consults should be made promptly based on the client's needs.

B. Providing subjective opinions and beliefs is inappropriate; objective, factual information about the client’s condition and treatment should be shared with the consultant.

C. Daily visits by the wound care specialist may not be necessary and could strain resources; a consult should focus on evaluating and advising rather than ongoing daily visits.

D. Scheduling the consultation at a time when the nurse caring for the client can attend ensures continuity of care and allows the nurse to discuss the client's condition and treatment plan directly with the specialist.

A. HDL levels decreased B. Blood glucose levels increased C. HbA1C numbers decreased D. Incidents of lipohypertrophy increased

Correct Answer is C

Explanation

A. A decrease in HDL (high-density lipoprotein) levels would indicate a worsening lipid profile, which is not directly related to the effectiveness of insulin administration training.

B. An increase in blood glucose levels would indicate poor glycemic control, suggesting the teaching method was not effective in helping clients manage their insulin properly.

C. A decrease in HbA1C reflects better long-term blood glucose control, indicating that the new teaching method for insulin administration is effective. HbA1C levels provide a clearer picture of blood sugar management over time.

D. An increase in incidents of lipohypertrophy would suggest improper insulin injection technique, as this condition occurs when injections are repeatedly administered in the same spot. This would indicate ineffective teaching.

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A nurse is orienting a newly licensed nurse on the neurological unit. Which of the following clients should the nurse assign to the newly licensed nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is coordinating a consult with a wound care specialist for a client who has a pressure injury. Which of the following actions should the charge nurse take?

Correct Answer is D

Explanation

A nurse implemented a new method of teaching clients about self-administration of insulin six months ago. Which of the following findings indicates the new method is effective?

Correct Answer is C

Explanation

A nurse manager is developing a protocol to reduce the incidence of UTIs in clients who have an indwelling urinary catheter. Which of the following interventions should the nurse include in the protocol?

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