When preparing a client care assignment, what is the most important factor for the nurse to consider first?
a. Number of clients in the assignment
b. Scope of practice of each employee
c. Acuity level of the client
d. Number of scheduled discharges on the unit
B
The nurse is accountable for assignments given to assistive personnel and the outcomes of the care; so the primary consideration in making assignments needs to be scope of practice. While the number of clients in the assignment, acuity level of the client, and the number of scheduled discharges on the unit may impact assignment preparation, they are not the most important factors.
You might also like to view...
A nurse is assigned to care for a patient with the diagnosis of centriacinar (centrilobar) emphy-sema. What is a characteristic of this type of emphysema?
a. No significant smoking history in the pa-tient b. Enlarged and broken down bronchioles with intact alveoli c. Hypoelastic bronchi and bronchioles d. Deficiency of the enzyme inhibitor al-pha1-antitrypsin.
A 56-year-old patient is admitted to the critical care unit with acute respiratory distress syndrome (ARDS)
The patient has been intubated and is mechanically ventilated. The patient is becoming increasingly agitated, and the high-pressure alarm on the ventilator has been frequently triggered. The nurse's first intervention for this patient would be to a. administer midazolam (Versed) 5 mg by intravenous push immediately. b. assess the patient to see if a physiologic reason exists for his agitation. c. obtain a stat arterial blood gas level; his agitation indicates he is becoming increasingly hypoxic. d. apply soft wrist restraints to keep him from pulling out the endotracheal tube.
Which nursing diagnosis is the child likely to experience if the child is not successfully treated for psychological problems after physical or sexual abuse or neglect?
a. Agitation, related to anxiety b. Depression, related to fear c. Post-trauma Response d. Post-traumatic Stress Disorder
Which nursing intervention is appropriate for helping a client with borderline personality disorder to extinguish clinging and splitting behaviors?
A) Putting the client on room restriction every time this type of behavior occurs B) Ignoring behaviors so that they will be extinguished for lack of reinforcement C) Securing a verbal contract with the client that he or she will discontinue this type of behavior D) Assuring the client that various staff members will work with him or her while in the hospital