In which of the following situations would you, as the head nurse, be concerned about potential safety issues?

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Question 1 of 5

In which of the following situations would you, as the head nurse, be concerned about potential safety issues?

Correct Answer: C

Rationale: Jake's alcohol use and aggressive history pose an immediate safety risk.

Question 2 of 5

As a senior manager, you notice that there have been several resignations on a unit where a new charge nurse has been hired. You suspect that the new charge nurse may be demonstrating bullying behaviors, but staff say little about their relationship with the charge nurse. Your decisions about intervention would be based on which assumptions?

Correct Answer: D

Rationale: Confidential exit interviews uncover bullying by leaders, often unreported due to fear.

Question 3 of 5

Which of the following should be included in a plan of care for a client receiving total parenteral nutrition (TPN)?

Correct Answer: B

Rationale: Changing TPN solution every 24 hours is essential, per the document, to prevent bacterial overgrowth in the hypertonic solution, ensuring safety. Withholding meds is incorrect; they can coexist. Flushing isn't required pre-TPN, and bed rest isn't mandated by TPN mobility depends on condition. B aligns with infection control standards, reducing sepsis risk, making it a key care plan element.

Question 4 of 5

An 85-year-old male patient has been bedridden for two weeks. Which of the following complaints by the patient indicates to the nurse that he is developing a complication of immobility?

Correct Answer: A

Rationale: Stiffness in the right ankle indicates an immobility complication, per the document, suggesting early contracture or atrophy from disuse. Gum soreness , memory loss , and appetite decrease aren't directly tied to immobility. A signals musculoskeletal decline, a common elderly risk, making it the relevant complaint.

Question 5 of 5

An 86 year-old nursing home resident who has impaired mental status is hospitalized with pneumonic infiltrates in the right lower lobe. When the nurse assists the client with a clear liquid diet, the client begins to cough. What should the nurse do next?

Correct Answer: B

Rationale: Checking the gag reflex is the next step when an 86-year-old with pneumonia coughs on a clear liquid diet. Coughing suggests aspiration risk, common in impaired mental status; a weak gag reflex confirms swallowing issues, necessitating swallowing evaluation. Thickening fluids or solids assumes causation prematurely. IV fluids don't address aspiration. B ensures safety, guiding further interventions, making it the priority action.

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