A nurse is performing care for several clients with the help of an assistive personnel (AP). Which task should the nurse ask the AP to perform first?
Give fresh water to each client who does not have NPO status.
Obtain a routine urine sample from a client right after admission.
Transport a client to the radiology department for an x-ray.
Take an ABG specimen to the laboratory.
The Correct Answer is D
The nurse should ask the AP to perform the task of taking an ABG (arterial blood gas) specimen to the laboratory first. This is because ABG specimens need to be analyzed promptly to ensure accurate results. Timely analysis of ABG specimens is important for making clinical decisions and providing appropriate care to the client.
Option A is incorrect because giving fresh water to clients who do not have NPO status is not as time-sensitive as taking an ABG specimen to the laboratory.
Option B is incorrect because obtaining a routine urine sample from a client right after admission is not as time-sensitive as taking an ABG specimen to the laboratory.
Option C is incorrect because transporting a client to the radiology department for an x-ray is not as time-sensitive as taking an ABG specimen to the laboratory.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
If a nurse overhears two assistive personnel (AP) discussing a client who is currently hospitalized in the hospital cafeteria, the appropriate action for the nurse to take is to quietly tell the APs that the conversation is inappropriate. This will allow the nurse to address the issue in a respectful and professional manner and remind the APs of their responsibility to maintain client confidentiality.
Option A is incorrect because completing an incident report may be necessary, but it should not be the first action taken.
Option B is incorrect because reporting the incident to the provider is not an appropriate action in this situation.
Option C is incorrect because documenting the occurrence in the client's medical record is not an appropriate action in this situation.
Correct Answer is ["C","D","F"]
Explanation
Situations that can lead to a tort against a nurse include repeating a rumor about a patient's personal life in a staff meeting, telling friends something unusual about a patient that was noted in the patient's chart, and forcing a patient to take medication against their will. These actions can result in legal action against the nurse for invasion of privacy or battery.
Option A is incorrect because referring a stranger to the patient or their family for details regarding the patient is an appropriate action.
Option Bis incorrect because respecting a patient's right to refuse treatment on religious grounds is an appropriate action.
Option Eis incorrect because placing an alarm on the bed of a patient prone to falling is an appropriate action to ensure their safety.
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