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?

Correct Answer: C

Rationale: The correct answer is C because as an RN, the responsibility should be assumed for the client who is actively dying and requires IV pain medication. This client's condition is critical and requires the expertise and assessment skills of an RN to manage pain effectively. RNs have the knowledge and training to administer IV medications safely and to monitor the client's response closely. Choices A, B, and D can be safely managed by other team members such as LPNs or assistive personnel, as they do not require the specialized skills and assessment capabilities of an RN for immediate care.

Correct Answer: A

Rationale: The correct answer is A because holding disaster drills on a regular basis is essential for preparedness and practice. Regular drills help ensure that staff are familiar with protocols and can respond effectively during a real disaster. Choice B is incorrect because while drills are important, they cannot fully replicate the chaos and urgency of a real disaster situation. Choice C is incorrect because typically an incident commander should be a designated leader with specific training and experience in disaster management, not just a staff nurse. Choice D is incorrect because triaging victims is usually done by trained personnel such as nurses or emergency medical technicians, not necessarily by physicians.

Correct Answer: A

Rationale: The correct answer is A: Do not adjust the oxygen flow rate. It is important not to adjust the oxygen flow rate without consulting the healthcare provider, as it can lead to inadequate oxygen delivery or oxygen toxicity. Option B is incorrect because oxygen equipment should be checked daily, not weekly, for safety. Option C is incorrect as unused oxygen tanks should be stored upright to prevent damage. Option D is incorrect as wool blankets can generate static electricity, which could be a fire hazard around oxygen. Therefore, the crucial instruction for the client is to not adjust the oxygen flow rate to ensure safe and effective oxygen therapy.

Correct Answer: D

Rationale: The correct answer is D: Check alertness. This task should be assigned first because assessing the worker's alertness ensures they are mentally capable and focused to provide assistance safely. This step is crucial in a crisis situation to prevent any potential errors or harm to the wounded workers. Incorrect Choices: A: Get temperatures - This can wait as it is not as urgent as ensuring the worker is alert. B: Take blood pressure - This is important but not as critical as checking alertness in this scenario. C: Palpate pulses - While important, checking alertness takes precedence in ensuring immediate readiness for providing care.

Correct Answer: A

Rationale: The correct answer is A: Handwashing before and after examination of clients. Handwashing is crucial in preventing the spread of infections as it helps eliminate germs on the hands. Before examining clients, handwashing reduces the risk of transferring pathogens from one client to another. After examination, it helps protect the client and the caregiver from potential infections. Choice B is not the best approach as gloves can sometimes create a false sense of security and may not be as effective as proper handwashing. Choice C may help prevent cross-contamination between client belongings and the nurse's bag but does not directly address infection prevention during care provision. Choice D is specific to certain types of examinations and may not be necessary for all client interactions. Handwashing remains the most effective and universal preventive measure.