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 Guillain-Barré syndrome and a tracheostomy
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
The Correct Answer is D
Choice A Reason:
A client who has Guillain-Barré syndrome and a tracheostomy is incorrect. Guillain-Barré syndrome can be a complex condition, especially when accompanied by a tracheostomy. Caring for a client with this condition requires knowledge and experience in managing respiratory and neurological complications. It may not be suitable for a newly licensed nurse who may require more experience to manage such complex care needs.
Choice B Reason:
A client who has a brain tumor and is admitted for chemotherapy is incorrect. Caring for a client with a brain tumor undergoing chemotherapy involves understanding the effects of both the tumor and the treatment on the client's neurological status and overall well-being. It may require advanced assessment skills and knowledge of potential complications. Assigning this client to a newly licensed nurse may not be appropriate without additional support and supervision.
Choice C Reason:
A client who has multiple sclerosis and ataxia is incorrect. Multiple sclerosis (MS) can present with various neurological symptoms, including ataxia, which affects coordination and balance. Managing the care of a client with MS and ataxia may require familiarity with the disease process, symptom management strategies, and potential complications. It may be more suitable for a nurse with some experience in neurological nursing.
Choice D Reason:
A client who sustained a concussion and is being monitored for complications is correct. Caring for a client with a concussion being monitored for complications is typically within the scope of practice for a newly licensed nurse. Monitoring for changes in neurological status, assessing for signs of increased intracranial pressure, and providing supportive care are tasks that can be managed by a newly licensed nurse under appropriate supervision.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Provide volunteers who will run errands for her is incorrect. While respite care services may offer some assistance with errands or tasks, the primary purpose of respite care is to provide temporary relief and support to caregivers by allowing them to take a break from their caregiving responsibilities.
Choice B Reason:
Sending a clinician to assess the safety of leaving her partner alone is incorrect. While ensuring the safety of the client is important, assessing the safety of leaving the partner alone does not directly relate to respite care. Respite care focuses on providing temporary relief to caregivers rather than assessing the client's ability to be left alone.
Choice C Reason:
Allowing her to take time off from attending to her partner is correct. Respite care provides caregivers with the opportunity to take a break from their caregiving responsibilities and attend to their own needs, whether it's for rest, relaxation, or attending to personal matters. It allows caregivers to recharge and prevent burnout.
Choice D Reason:
Helping her arrange transferring her partner to an assisted living facility is incorrect. Respite care is not typically intended to assist with arranging long-term care options such as transferring a partner to an assisted living facility. It focuses on providing short-term relief for caregivers, allowing them to continue providing care in their own homes.
Correct Answer is C
Explanation
Choice A Reason:
Medicating the client with alprazolam, should not be the first action as it involves administering medication that could mask underlying issues and may not be appropriate without further assessment.
Choice B Reason:
Reorienting the client to his surroundings, is important for addressing confusion, but it should not be the first action until the nurse has ruled out any immediate physiological concerns.
Choice C Reason:
When a client presents with confusion and agitation after returning from an acute care facility, it's important for the nurse to prioritize assessing the client's physiological status by measuring vital signs. Changes in vital signs could indicate underlying medical issues such as infection, dehydration, or other physiological disturbances that may be contributing to the client's symptoms.
Choice D Reason:
Offering reassurance to the family, is important for providing support, but it should not be the first action as it does not directly address the client's immediate needs related to confusion and agitation.
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