A 34-year-old woman who developed Stevens-Johnson syndrome while undergoing
treatment with carbamazepine (Tegretol) is being transferred in stable condition from the
intensive care unit to the medical unit. There are 4 beds available. The nurse knows the best
choice of roommates for this client is which of the following?
(a) A 40-year-old man with methicillin-resistant Staphylococcus aureus (MRSA).
(b) A 28-year-old woman diagnosed with diarrhea.
(c) A 72-year-old man with fever of unknown origin.
(d) A 68-year-old woman with atrial fibrillation . -
Answers✅
Correct answer: (d) A 68-year-old woman with atrial fibrillation.
Rationale: A client with Stevens-Johnson syndrome is likely to have severe skin integrity
issues, including blistering and skin shedding, which can place the client at high risk for
infection. Atrial fibrillation is not an infectious process. All other patients may be an
infection risk for an individual with altered skin integrity.
Quiz_________________?
A 72-year-old man who had a stroke is being transferred from a medical unit to a
rehabilitation centre. The nurse case manager is assisting in the process. The nurse knows
that the goals of case management include which of the following? Select all that apply.
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, (a) Improving the coordination of care
(b) Increasing referrals to local organizations
(c) Reducing the fragmentation of care
(d) Discharging clients quickly -
Answers✅
Correct answer: (a) Improving the coordination of care; and (c) Reducing the fragmentation
of care
Rationale: Some of the primary goals of case management are to improve the coordination
of care and to reduce fragmentation of care. The other options are not goals of case
management.
Quiz_________________?
A nursing team consists of an RN, an LPN/ LVN, and a nursing assistant. The nurse should
assign which of the following patients to the LPN/LVN?
(a) A 72-year-old patient with diabetes who requires a dressing change for a stasis ulcer.
(b) A 42-year-old patient with cancer of the bone complaining of pain.
(c) A 55-year-old patient with terminal cancer being transferred to hospice home care.
(d) A 23-year-old patient with a fracture of the right leg who asks to use the urinal. -
Answers✅
Correct answer: (a) A 72-year-old patient with diabetes who requires a dressing change for
a stasis ulcer.
Rationale: LPN/LVNs assist with implementation of care; performs procedures;
differentiates normal from abnormal; cares for stable patients with predictable conditions;
has knowledge of asepsis and dressing changes; administers medications. Patient (a) is stable
with an expected outcome. Patients (b) and (c) require assessment and nursing judgement;
and Patient (d) involves a standard unchanging procedure that can be assigned to the nursing
assistant.
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