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Chapter 1: Problem 133

The charge nurse is making assignments for the day. After accepting the assignment to a client with leukemia, the nurse tells the charge nurse that her child has chickenpox. Which action should the charge nurse take? A. Change the nurse's assignment to another client B. Explain to the nurse that there is no risk to the client C. Ask the nurse if the chickenpox have scabbed D. Ask the nurse if she has ever had the chickenpox

Short Answer

Expert verified
Answer: The best course of action for the charge nurse is to change the nurse's assignment to another client. This option ensures that the leukemia patient is protected from any potential risk of contracting chickenpox, which is the primary concern in this exercise.

Step by step solution

01

Analyze the situation

In this scenario, the nurse has a child at home with chickenpox and is concerned about working with a client who has leukemia. As a high school teacher, it is important for us to fully comprehend the implications associated with both conditions to determine the best course of action.
02

Consider the risks

The main concern in this situation is the potential risk to the client. Patients with leukemia have weakened immune systems and are more susceptible to infections. It is essential to protect the client from any potential risk of contracting chickenpox from the nurse, as this could lead to severe complications.
03

Analyze option A

Option A suggests that the charge nurse should change the nurse's assignment to another client. In doing so, the charge nurse would be ensuring that the leukemia patient is not placed at any risk of contracting chickenpox. This seems like a reasonable precaution to take for the patient's safety.
04

Analyze option B

Option B suggests explaining to the nurse that there is no risk to the client. This option doesn't consider the client's weakened immune system and its implications. It is not a viable option because the nurse's child's chickenpox could pose a risk to the client's health.
05

Analyze option C

Option C involves asking the nurse if the chickenpox has scabbed. While it is relevant to ask about the stage of the illness in the nurse's child, it does not address the immediate concern of the assignment or ensure that the client is not at risk of infection. Moreover, it is not guaranteed that scabbing indicates no longer contagious.
06

Analyze option D

Option D asks the nurse if she has ever had chickenpox. While this information could be useful, it is not a guarantee that the client will not be exposed to the virus. It also doesn't take into account that the nurse might be a carrier of the virus or may have contracted it recently.
07

Choose the best option

Based on the analysis of all the options, the best course of action for the charge nurse would be Option A - Change the nurse's assignment to another client. This option ensures that the leukemia patient is protected from any potential risk of contracting chickenpox, which is the primary concern in this exercise.

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Most popular questions from this chapter

A 20-year-old female has a prescription for tetracycline. While teaching the client how to take her medicine, the nurse learns that the client is also taking Ortho-Novum oral contraceptive pills. Which instructions should be included in the teaching plan? A. The oral contraceptives will decrease the effectiveness of the tetracycline. B. Nausea often results from taking oral contraceptives and antibiotics. C. Toxicity can result when taking these two medications together. D. Antibiotics can decrease the effectiveness of oral contraceptives, so the client should use an alternate method of birth control.

The nurse notes the patient care assistant looking through the personal items of the client with cancer. Which action should be taken by the registered nurse? A. Notify the police department as a robbery B. Report this behavior to the charge nurse C. Monitor the situation and note whether any items are missing D. Ignore the situation until items are reported missing

The nurse overhears the patient care assistant speaking harshly to the client with dementia. The charge nurse should: A. Change the nursing assistant's assignment B. Explore the interaction with the nursing assistant C. Discuss the matter with the client's family D. Initiate a group session with the nursing assistant

When assessing a client for risk of hyperphosphatemia, which piece of information is most important for the nurse to obtain? A. A history of radiation treatment in the neck region B. A history of recent orthopedic surgery C. A history of minimal physical activity D. A history of the client's food intake

The nurse is obtaining a history of an 80-year-old client. Which statement made by the client might indicate a possible fluid and electrolyte imbalance? A. "My skin is always so dry." B. "I often use a laxative for constipation." C. "I have always liked to drink a lot of ice tea." D. "I sometimes have a problem with dribbling urine."
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