A nurse is contributing to the plan of care for a client who is newly admitted to a rehabilitation facility.
Which of the following actions should the
... [Show More] nurse take first? - Ask the client to identify his goals for
recovery
A nurse is preparing to reinforce discharge teaching with a client who does not speak the same language
as the nurse. Which of the following actions should the nurse plan to take? - Select an interpreter who is
the same gender as the client.
Ensure interpreters provided by the facility have knowledge of medical terminology.
Choose an interpreter from the same ethnic background as the client.
A nurse on a facility's performance improvement team is assisting to develop practice guidelines for
performing bladder scans. Which of the following actions should the nurse take prior to developing a
policy and procedure for this task? - Review evidence-based practice data related to bladder scanner
use.
A charge nurse is talking with two assistive personnel (AP) who are angry about the way lunch breaks
are scheduled on the unit. Which of the following statements by the charge nurse demonstrates the use
of compromise? - "You can take turns going to lunch first every other week"
A community health nurse is reinforcing teaching with a group of parents about home safety for children
of various age groups. Which of the following information should the nurse plan to include? - The supine
position is the safest for sleeping infants.
A nurse is participating in the unit's performance improvement program. The nurse should recognize
that which of the following is a quality indicator? - The facility-wide fall injury rate for the previous
quarter is 3%
A nurse is monitoring an assistive personnel (AP) who is calculating I&O for a postoperative client. The
client has a Jackson-Pratt drain and an indwelling urinary catheter. The nurse should recognize that theclients output is calculated and recorded correctly when the AP performs which of the following
actions? - Includes emesis and wound drainage in the total recorded output
A charge nurse is asked by two staff nurses to assist in resolving a conflict about holiday scheduling.
Which of the following actions should the charge nurse take? - Encourage each staff nurse to give up
something as part of the negotiation.
A charge nurse in a long-term care facility is monitoring the activities of an assistive personnel (AP).
Which of the following actions by the AP indicates that the charge nurse should intervene? - Stands with
feet close together while transferring a client from the bed to a chair
A nurse is reinforcing discharge teaching with a client who is 2 days postpartum. The client expresses
concern about a lack of family support and limited financial resources. Which of the following responses
should the nurse make? - "How do you feel about discussing your concerns with a social worker?"
A nurse in a long-term care facility enters a client's room and finds the client lying on the floor. Which of
the following actions should the nurse take first? - Check the client for injuries.
A nurse is contributing to the development of a fall prevention policy for clients who have dementia.
Which of the following sources of information should the nurse identify as the primary guideline for the
creation of the policy? [Show Less]