A nurse is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first?

A client who has bipolar disorder and is speaking loudly.

A client who is taking lithium and reports weight gain.

A client who is taking clozapine and reports a sore throat.

A client who has schizophrenia and is experiencing olfactory hallucinations.

Answer and Explanation

The Correct Answer is C

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Correct Answer is B

Explanation

A. Check the client's condition after the procedure. - This task should not be delegated to assistive personnel (AP) as it requires assessment skills that are within the nurse's scope of practice.

B. Assist the client to ambulate for the first time following the procedure. - This is a task that can be delegated to AP. Ambulation assistance is within the AP's scope of practice, provided the nurse has assessed the client's stability beforehand.

C. Witness the client's signature on the consent for the procedure. - This task must be performed by a nurse or another licensed healthcare provider, as it involves ensuring that the client has given informed consent.

D. Give the client atropine 30 min before the procedure. - Administering medication is within the nurse's scope of practice and should not be delegated to AP.

A. Altered level of consciousness. B. Rapid mood swings. C. Excessive motor activity. D. Failure to recognize familiar objects.

Correct Answer is D

No explanation

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A nurse is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

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