A nurse manager is reviewing the admission history of four adults who were admitted to the medical-surgical unit during the shift. Which of the following situations is the nurse required to disclose information to an outside agency about the client or the client's circumstances?

A young adult client admitted for acute glomerulonephritis following a viral infection

A dependent adult admitted for the treatment of a spiral fracture

A young adult client admitted for asthma and has track marks that may indicate IV drug abuse

An emancipated minor who has acute appendicitis and wants to leave the facility without treatment

Answer and Explanation

The Correct Answer is B

Rationale:

A. A young adult client admitted for acute glomerulonephritis following a viral infection does not indicate a mandatory report situation.

B. A dependent adult admitted for the treatment of a spiral fracture suggests potential abuse or neglect. As mandated reporters, nurses are required to report suspicions of abuse or neglect to the appropriate authorities.

C. A young adult client admitted for asthma and has track marks that may indicate IV drug abuse does not necessarily require mandatory reporting unless there is evidence of abuse or harm that needs to be reported.

D. An emancipated minor who has acute appendicitis and wants to leave the facility without treatment may raise concerns about the minor's capacity to make decisions, but it does not automatically necessitate reporting to an outside agency.

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Free Nursing Study Resources

Correct Answer is D

Explanation

Rationale:

A. "Use wool blankets on your bed" is not recommended as wool is a flammable material that can pose a risk with oxygen use.

B. "Store unused oxygen tanks horizontally" is not correct; tanks should be stored upright to prevent damage or leakage.

C. "Check your oxygen equipment once each week" is insufficient; equipment should be checked more frequently to ensure safety.

D. "Do not adjust the oxygen flow rate" is correct as clients should not make adjustments without medical advice to ensure proper oxygen levels are maintained.

A. A client requesting a referral for home health services B. A client asking about his PCA pump that contains morphine C. A client who needs assistance with a bath D. A client who has questions about his new prescription

Correct Answer is B

Explanation

Rationale:

A. Requesting a referral is important but not immediately critical compared to other needs.

B. Asking about a PCA pump with morphine indicates a potential issue with pain management or medication delivery that needs immediate attention.

C. Assisting with a bath is important for comfort and hygiene but is less urgent compared to immediate pain management.

D. Questions about a new prescription should be addressed but are generally less urgent than issues related to pain management.

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A nurse manager is reviewing the admission history of four adults who were admitted to the medical-surgical unit during the shift. Which of the following situations is the nurse required to disclose information to an outside agency about the client or the client's circumstances?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching for a client who has a new prescription for home oxygen. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is assigned a group of clients at the start of the shift. Which of the following clients should the nurse plan to care for first?

Correct Answer is B

Explanation

A nurse is planning care for a group of clients at the beginning of the shift. Which of the following tasks should the nurse assign to the licensed practical nurse (LPN)?

A charge nurse has assigned a group of clients to a licensed practical nurse (LPN). The charge nurse receives reports from her assigned clients about the LPN's lack of care. Which of the following actions should the charge nurse take?

A nurse is planning a community diabetes mellitus management program. Which of the following goals should the nurse include for the program?

A nurse checks with assistive personnel on the unit throughout the shift to determine if they are completing tasks. The nurse is demonstrating which of the following rights of delegation?

A charge nurse is working with an assistive personnel (AP) who provides excellent care to clients and is an effective team member. Which of the following actions should the nurse take first to recognize the AP's contributions to client care?

A nurse on a surgical unit is caring for a group of clients. Which of the following is the priority action of the nurse?

A nurse is planning to assign care activities to the assistive personnel (AP) on her team. Which of the following activities can the nurse assign to the AP? (Select all that apply.)