A nurse is assisting with the selection of clients to discharge to make beds available following a
tornado in the community. Which of the following
... [Show More] clients should the nurse recommend for
discharge?
• A client who is recovering from a laparoscopic appendectomy that was performed 24 hr
ago
RATIONALE: A client who had an appendectomy without complications is often
discharged the day of
or the day after surgery. The nurse should recommend this client for discharge because
this client has a low risk for an adverse event.
A nurse is assisting with triage following a mass casualty event. The nurse should
recommend that which of the following clients be attended to first?
• A client who has a crush injury to the pelvis and whose pedal pulse in the right foot is
absent
RATIONALE: A client who has a pelvic crush injury and an absent pulse to the lower
extremity has an
immediate threat to life and limb and requires emergent care for survival. When using
the survival approach to client care, the nurse should give priority to this client.
A nurse is contributing to the plan of care for a client who states he is a devout Hindu.
To adhere to the client’s religious dietary practices, which of the following food options
should the nurse offer to the client?
• Yogurt
RATIONALE: The nurse should offer yogurt as a food option for the client who is a
devout Hindu because dairy products are believed to enhance spiritual purity.
A nurse assisting with disaster triage is examining a client who has a large open would
to the lower extremity. Which of the following actions should the nurse take?
• Tell the client she should receive treatment within 2 hr.
RATIONALE : When performing disaster triage, the nurse should assign clients who
have a large, open wound to the yellow, or urgent category. This is the second-priority
client category,and clients who are in this category should receive treatment after the
emergent group,but within 30 min to 2 hr.
A nurse is verifying informed consent with a client who is scheduled to have a total open
abdominal hysterectomy with bilateral salpingo oophorectomy for the treatment of
uterine cancer. The nurse should notify the provider for which of the following client
statements?
• "I wish I knew if there was another way to treat this other than surgery."
RATIONALE : The nurse should contact the provider to clarify the procedure and other
options with theclient. It is the provider's responsibility to inform the client of any other
treatment options.
A nurse is planning to delegate care for a group of clients following change-of-shift
report. Which of the following tasks should the nurse plan to assign to an assistive
personnel (AP)?
• Applying bilateral sequential compression devices to a client's legs
RATIONALE : The nurse should delegate applying sequential compression devices to
an AP becausethis skill is used routinely in client care, creates minimal safety risk for
the client, and iswithin the range of function for an AP.
A nurse is discussing the meaning of utilitarianism with a newly licensed nurse. Which of
the following statements by the newly licensed nurse indicates an understanding of this
ethical theory?
• "Utilitarianism provides the greatest good for the greatest number of people."
RATIONALE : The nurse indicates an understanding of the ethical theory of
utilitarianism by statingthat the basis for this theory provides the greatest good for the
greatest number of people.
A nurse is assisting with a presentation about preparing a home disaster supply kit at a
community health fair. Which of the following statements by a participant should the
nurse identify as understanding of the information?
• "I will purchase canned fruit for the kit."
RATIONALE - A home disaster kit should include nonperishable food items, which require no cooking or
preparation and littlewater. Therefore, the nurse should identify the inclusion of canned fruit as an understanding
of the information.
A nurse is delegating collection of a random stool specimen to an assistive personnel (AP).
Which of the following information should the nurse provide?
• Wrap tongue blades used to retrieve the specimen in a paper towel prior to disposal.
RATIONALE -The nurses should instruct the AP to use one to two tongue blades to move the stool specimen
to the collectioncontainer. After transferring the stool, the AP should wrap the tongue blades in a paper towel
before discarding them in the trash to prevent others from accidentally touching the contaminated surfaces.
A nurse is participating in a disaster drill and is assigned to assist with clients in the yellow tag staging area.
The nurse should expect to assist in treating which o...............................................................................................................................CONTINUED [Show Less]