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Pearson NCLEX Prep TEST BANK QUESTIONS, ANSWERS & RATIONALES 2024/2025
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Pearson NCLEX Prep TEST BANK QUESTIONS, ANSWERS & RATIONALES 2024/2025
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Pearson NCLEX PrepAn character falls and fractures a hip at the same time as strolling down the street. A
companion notices a nurse power past with out preventing to help. The person sues the
nurse for negligence however fails to win a judgment for which motive?
The nurse had no responsibility to the person.
The nurse did what most nurses could do in the same situation.
The nurse did not reason the customer's injuries.
The nurse become off-responsibility at that time. - ANSThe nurse had no obligation to the
character.
Explanation:
To be responsible of negligence, the nurse should have a relationship with the customer that
includes a responsibility to offer care. The relationship is often a component of employment.
The nurse did now not necessarily do what others might do in this example. Although the
nurse did now not purpose the patron's accidents, it does no longer save you the nurse from
helping in this situation. Although the nurse turned into off-obligation, the nurse should have
assisted if inspired to achieve this.
An unlicensed care issuer (UCP) is assigned to a care area. Which hobby should the nurse
complete earlier than delegating obligations to this caregiver?
Determine UCP competency to carry out the assignment
Provide UCP with written directions
Ensure all supplies are on the clients' bedsides
Inform clients that UCP may be providing care - ANSDetermine UCP competency to perform
the venture
Explanation:
Safe and powerful delegation is primarily based on know-how of the legal guidelines
governing nursing exercise and knowledge about activity obligations and responsibilities.
Nurses should understand the abilities and education of unlicensed care companies. It is not
necessary to offer written instructions when delegating obligations to UCPs so long as verbal
directions are clean and expectancies are understood. UCPs can deliver resources to the
purchaser's bedside and this isn't a concern consideration of the nurse. UCPs are a part of
the care shipping team and do no longer require a unique advent. UCPs can introduce
themselves to customers. Cognitive Level: Applying Client Need: Management of Care
Integrated Process: Nursing Process: Implementation Content Area: Leadership and
Management Strategy: Use understanding of the five rights of delegation to reply the
question. In this situation, recall the competence of the UAP as vital to the question
The nurse has carried out elbow splints on a pressured patron to prevent the client from
disposing of the intravenous (IV) line. Which of the subsequent interventions is needed?
Document appearance of patron's IV web site every hour
Remove elbow splints each 8 hours
, Ask for renewal of prescription for restraint each 72 hours
Assess and file customer's condition at least every hour - ANS
Assess and report client's condition at least every hour
Explanation:
The purchaser ought to be checked at least hourly, and the nurse ought to record purchaser
status. Physical restraints obstruct a purchaser's freedom; their use needs to be prescribed
every 24 hours. Because restraints can also obstruct flow, they have to be eliminated
consistent with business enterprise policy, that's usually every 1-2 hours in preference to
every 8 hours. The IV website should be checked every hour, however documentation may
be executed simplest as soon as consistent with shift until a problem takes place. - ANS
The nurse assesses the temperature and blood strain of a patron on touch precautions every
shift because of wound infection. What movement have to the nurse take to limit the unfold
of microorganisms?
Keep the system inside the consumer's room
Store the equipment inside the dirty utility room among makes use of
Cleanse the equipment after each use
No unique action is required with the device - ANSKeep the gadget in the patron's room
Explanation:
Equipment for purchaser care is dedicated to the patron on contact precautions and is stored
in the patron's room. The gadget should not be stored within the dirty application room
between makes use of because it could incorporate floor microorganisms that would are
available contact with personnel. Cleansing the system after each use is not sensible; it'd be
more green to preserve the device in the consumer's room. The equipment does require
unique movement to save you transmission of infection.
The client, a sixteen-12 months-vintage girl, has come to the clinic for birth control after
these days becoming sexually energetic. The patron states that several pals use
spermicides and asks approximately their advantages and downsides. What is the nurse's
fine response?
"If you need an powerful approach, you need to choose something else."
"It is a totally convenient technique to apply standard and you will be able to insert the
spermicide up to four hours before intercourse."
"Spermicides cause very few troubles for the general public of people, and they may be
nearly a hundred % powerful."
"Spermicides may additionally or won't be a very good choice; they've a failure fee of about
21 % and provide a few safety in opposition to sexually transmitted infections." -
ANS"Spermicides can also or won't be an excellent preference; they've a failure charge of
approximately 21 % and provide some protection against sexually transmitted infections."
Explanation:
Spermicides need to be used inside 30 minutes of sex, have a failure rate of 21%, and do
offer some safety towards sexually transmitted infections. Other key data needed is the
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