1. A nurse receives a change-of-shift report at 0700 for an assigned caseload of clients. Number the following clients in the order in which they should
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1 The first action the nurse should take is to attend to the client who is receiving blood. It has been 3 hr since the transfusion was initiated, and it should be completed within 4 hr. The client is also at risk for a transfusion reaction; therefore, this is the first action the nurse should take. 3 Next the nurse should administer PRN pain medication to the client who was last medicated at 0430. 
 4 Then the nurse should verify that the informed consent is completed in sufficient time to take any 
actions needed prior to the scheduled colonoscopy. 
 2 The next action the nurse should take is to administer the insulin, which is scheduled to be administered before 0800. 5 Finally, the nurse should reinforce teaching for the client who is to be discharged and has a prescription for dressing changes.
2. An older adult client who is on fall precautions is found lying on the floor of his hospital room. Which of the following actions is most appropriate for the nurse to take first?
C. CORRECT: Using the nursing process, the first action the nurse should take is to assess the client. Therefore, the first action the nurse should take is to inspect the client for injury.
3. A nurse is preparing to initiate IV therapy for a client who has a prescription for morphine 10 mg IV bolus. Using time management principles, which of the following actions should the nurse take first?
CORRECT: The first action the nurse should take is to mentally envision the task to ensure that she has all of the needed supplies to avoid wasting time by having to make another trip to obtain supplies.
4. An RN on a medical-surgical unit is making assignments at the beginning of the shift. Which of the following tasks should the nurse delegate to the LPN?
A. CORRECT: It is within the scope of practice of the LPN to monitor a client who is 2 hr post 
procedure for a cardiac catheterization.
5. An LPN ending her shift reports to the RN that a newly hired assistive personnel has not calculated the intake and output for several clients. Which of the following actions should the RN take?
C. CORRECT: The nurse should find out what the AP knows about performing the task and provide 
education for the AP if indicated.
6. A nurse manager is developing an orientation plan for newly licensed nurses. Which of the following should the manger include in the plan? (Select all that [Show Less]