Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend?
A. Child protective services
Child protective services deal with cases of child abuse or neglect, which isn't relevant to the parent's inability to afford medical equipment.
B. Respiratory therapist
While a respiratory therapist might assist with the use of the nebulizer, they may not address the financial concerns of the parent.
C. Social worker
Social workers can help connect families with resources, financial assistance programs, or charitable organizations that may assist with obtaining necessary medical equipment.
D. Pharmacist
While a pharmacist plays a role in medication management, they may not directly address the financial concerns related to acquiring the nebulizer.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Rn Leadership 2019 Proctored Exam. Take the full exam now
Full Explanation
A. Child protective services deal with cases of child abuse or neglect, which isn't relevant to the parent's inability to afford medical equipment.
B. While a respiratory therapist might assist with the use of the nebulizer, they may not address the financial concerns of the parent.
C. Social workers can help connect families with resources, financial assistance programs, or charitable organizations that may assist with obtaining necessary medical equipment.
D. While a pharmacist plays a role in medication management, they may not directly address the financial concerns related to acquiring the nebulizer.
Similar Questions
A nurse is preparing to delegate bathing and turning of a newly admitted client who has end- stage bone cancer to an experienced assistive personnel (AP). Which of the following assessments should the nurse make before delegating care?
A. Is the client's family present so the AP can show them how to turn the client?
While involving the family might be beneficial for education, it's not directly related to assessing the client's needs for turning.
B. Has the AP checked the client's pain level prior to turning her?
Assessing the client's pain level is important, but it's only one aspect of comprehensive care when delegating turning to the AP.
C. Does the AP have time to change the client's central IV line dressing after turning her?
Checking the AP's availability for other tasks after turning the client is important but not the primary assessment before delegation.
D. Has data been collected about specific client needs related to turning?
Before delegating care, the nurse should assess and collect data about the client's specific needs related to turning due to the client's condition. Understanding the client's condition and requirements for turning is crucial for effective delegation.
Full Explanation
A. While involving the family might be beneficial for education, it's not directly related to assessing the client's needs for turning.
B. Assessing the client's pain level is important, but it's only one aspect of comprehensive care when delegating turning to the AP.
C. Checking the AP's availability for other tasks after turning the client is important but not the primary assessment before delegation.
D. Before delegating care, the nurse should assess and collect data about the client's specific needs related to turning due to the client's condition. Understanding the client's condition and requirements for turning is crucial for effective delegation.
A nurse is caring for a client who has been admitted and diagnosed with type 1 diabetes mellitus. The client tells the nurse she has decided to go home. Which of the following actions should the nurse take?
A. Ask the client if she would like a sedative to help her relax.
Offering a sedative might not address the situation appropriately; the client's decision to leave needs to be managed through proper channels.
B. Inform the client that she cannot leave without a discharge prescription from the provider.
Informing the client about the discharge process and the requirement of a discharge prescription from the provider is appropriate and educates the client on the necessary steps.
C. Assign a security officer to the client's room until the provider can speak with the client.
Assigning a security officer might not be necessary unless there are safety concerns or imminent risks.
D. Have the client sign the Against Medical Advice form.
Having the client sign the Against Medical Advice (AMA) form might be necessary if the client insists on leaving against medical advice, but explaining the proper discharge process should be attempted first.
Full Explanation
A. Offering a sedative might not address the situation appropriately; the client's decision to leave needs to be managed through proper channels.
B. Informing the client about the discharge process and the requirement of a discharge prescription from the provider is appropriate and educates the client on the necessary steps.
C. Assigning a security officer might not be necessary unless there are safety concerns or imminent risks.
D. Having the client sign the Against Medical Advice (AMA) form might be necessary if the client insists on leaving against medical advice, but explaining the proper discharge process should be attempted first.
Nurses on an inpatient care unit are working to help reduce unit costs. Which of the following actions is appropriate to include in the cost-containment plan?
A. Wait to dispose of sharps containers until they are completely full.
Waiting to dispose of sharps containers until they are completely full might compromise safety and infection control practices.
B. Use clean gloves rather than sterile gloves for colostomy care.
Using clean gloves rather than sterile gloves for colostomy care is a possible interventin that can be applied.
C. Return unused supplies from the bedside to the unit's supply stock.
Returning unused supplies to the unit's supply stock helps prevent wastage and unnecessary restocking, contributing to cost containment.
D. Store opened bottles of normal saline in a refrigerator for up to 48 hours.
Storing opened bottles of normal saline for up to 48 hours might not be compliant with storage guidelines and could risk contamination, potentially increasing costs through wastage or patient harm.
Full Explanation
A. Waiting to dispose of sharps containers until they are completely full might compromise safety and infection control practices.
B. Using clean gloves rather than sterile gloves for colostomy care is a possible interventin that can be applied.
C. Returning unused supplies to the unit's supply stock is not correct.
D. Storing opened bottles of normal saline for up to 48 hours might not be compliant with storage guidelines and could risk contamination, potentially increasing costs through wastage or patient harm.