An RN is making nursing staff assignments for his team consisting of himself, two licensed practical nurses (LPNs), and an assistive personnel (AP). Which of the following clients should he assume responsibility for?
The client who is actively dying and requires IV pain medication
The client who is 3 days postoperative and requires a dressing change
The client who requires frequent ambulation
The client who is in protective isolation
The Correct Answer is A
A. This client needs IV pain medication, which requires advanced skills and knowledge to manage and administer safely. This situation involves complex and sensitive care, including pain management and end-of-life issues. RNs are typically responsible for administering IV medications, especially in critical or end-of-life situations.
B. A client who is 3 days postoperative and needs a dressing change generally requires a level of care that may be suitable for LPNs. LPNs are trained to perform dressing changes and manage postoperative wounds. However, if there are complications or concerns about the wound or the client’s condition, the RN should oversee or handle the situation.
C. Frequent ambulation can be managed by assistive personnel (AP) under the supervision of the RN. This task typically involves supporting and assisting the client with walking, which is within the scope of AP duties. LPNs can also assist with ambulation, but it is generally a task appropriate for APs when performed as part of routine care.
D. A client in protective isolation requires careful attention to infection control practices to protect them from infections. While the RN is responsible for ensuring adherence to isolation protocols and assessing the client’s needs, the day-to-day care tasks might be managed by LPNs and APs, provided they are trained in infection control procedures.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While placing the client in a room within view of the nurses' station might allow for closer monitoring, it does not address the specific infection control requirements needed for a patient with active TB. TB is an airborne pathogen, so simply placing the room near the nurses' station does not prevent the spread of TB germs to other patients or staff.
B. This option is not specifically appropriate for TB unless the client requires intensive monitoring or care that cannot be provided on a general medical-surgical unit. The ICU is not designed specifically for airborne isolation and does not offer the specialized ventilation required for managing TB patients.
C. For a patient with active TB, the room should have specialized ventilation to prevent the spread of airborne pathogens. A room with air exhaust directly to the outdoor environment is ideal for TB patients as it ensures that the airborne particles are effectively removed from the healthcare environment, minimizing the risk of transmission to others.
D. Tuberculosis is an airborne infection, so placing a TB patient in a room with another client, regardless of whether they are nonsurgical, poses a risk of transmission. TB requires a single-patient room with proper ventilation to prevent the spread of the disease to other patients and staff.
Correct Answer is ["C","D","E"]
Explanation
A. This is not one of the core principles of shared governance. While financial considerations are important in healthcare, they are not a foundational element of shared governance.
B. Navigation refers to the ability to guide or steer through complex systems, such as healthcare processes, policies, or organizational structures. In the context of shared governance, navigating through the decision-making process is essential.
C. This principle emphasizes the importance of compassionate and patient-centered care. It underscores the nursing profession's core value of caring for patients.
D. This principle refers to the nurses' knowledge and expertise. It highlights the importance of professional development and the use of evidence-based practice.
E. This principle emphasizes the nurse's role as a leader and follower within the healthcare team. It involves empowerment, autonomy, accountability, and collaboration.
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