A nurse on a med-surge unit is caring for four clients. The nurse should recognize that which of the following clients is the priority?
A client who is
... [Show More] postoperative following a laminectomy 12 hour and is unable to void
A client who is scheduled for a tubal ligation in 2 hours and is crying
A client who has peripheral vascular disease and has an absent pulse in the right foot
A client who has type 1 diabetes and needs the first dressing change for an ulcer
A client who has MRSA and has an axillary temperature of 100.4F
nurse manager is planning to assign care for four clients on a medical surgical unit. Which
of the following clients should the nurse assign to a LPN
a. An older adult who has lung cancer and has periodic episodes of severe dyspnea
b. A middle adult client who has a below the knee amputation and requires a dressing change
c. A young adult client who is postoperative, receiving morphine via epidural, and reports
pruritus
d. An adolescent who requires teaching regarding insulin administration
nurse manager is planning to assign care for four clients on a medical surgical unit. Which
of the following clients should the nurse assign to a LPN
a. An older adult who has lung cancer and has periodic episodes of severe dyspnea
b. A middle adult client who has a below the knee amputation and requires a dressing change
c. A young adult client who is postoperative, receiving morphine via epidural, and reports
pruritus
d. An adolescent who requires teaching regarding insulin administration
A nurse manager is planning to assign care for four clients on a medical surgical unit. Which
of the following clients should the nurse assign to a LPN
a. An older adult who has lung cancer and has periodic episodes of severe dyspnea
b. A middle adult client who has a below the knee amputation and requires a dressing change
c. A young adult client who is postoperative, receiving morphine via epidural, and reports
pruritus
d. An adolescent who requires teaching regarding insulin administration
11) A nurse manager observes assistive personnel (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?
Help the AP assist the client with the transfer
Demonstrate the proper client transfer technique to the AP
Instruct the AP to request assistance when unsure about a task
Refer the AP to the facility procedure manual
12) A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax. Which of the following actions should the nurse take?
Prepare to administer antibiotics to the client
Wear an N95 respirator makes while caring for the client
Plan to administer an antiviral mediation to the client
Place a surgical mask on the client during transfer to the unit
13) A nurse is caring for a client who is unconscious and whose partner is their health care surrogate. The partner wishes to discontinue the client’s feeding tube, but another family member tells the nurse that they want the client to continue receiving treatment. Which of the following responses should the nurse make?
“You should contact the provider about your wishes for your family member”
“You should speak with the facility’s ethics committee about your concerns
“We’ll need to have the nursing supervisor review the client’s advance directives”
“As the health care surrogate, the client’s partner can make this decision
14) A nurse is preparing to discharge a client who has end- stage heart failure. the client's partner tells the nurse she can no longer handle caring for the client. which of the following actions should the nurse take?
Ask the provider to delay the client's discharge home for a few more days.
Recommend the partner place the client in a long- term care facility.
Contact the case manager to discuss discharge options.
Request another family member assist the client's partner with care.
15) A nurse is providing change-of-shift report for an oncoming nurse. Which of the following information should the nurse include in the report?
“The client is in radiology department for a chest x-ray”
“The client’s partner came to visit him 2 hrs. ago”
“The client has routine vital signs prescribed”
“The client is the president of a local bank” [Show Less]