1. 1. The nurse is caring for an older adult who was admitted with a Urinary tract infection and is now exhibiting signs of Severe Inflammatory Response
... [Show More] Syndrome (SIRS). Which collaborative care goals should the nurse include in the plan of care? (Select all that apply): BODY TEMP with in normal limits. REDUCE WBC count.
NEGATIVE URINE CULTURE
2. The nurse is caring for clients on an orthopedic unit. Which client has the greatest risk for developing osteomyelitis?: OLDER ADULT W/OSTEO- POROSIS WHO IS BEDFAST FOLLOWING COMPRESSION FRACTURE OF THE VERTABRAE
3. . A male college student is brought to an emergency clinic by his friends because they report that he has been vomiting for the past 3 days as the result of food poisoning. Laboratory findings indicate that the client's potas- sium level is 2.5 mEq/L (2.5 mmol/L), so he is admitted to a local hospital, Which intervention is most important for the nurse to include in this client's plan of care?: Initiate cardiac monitoring for the clients.
4. The practical nurse (PN) is visiting a client who has stage four colon cancer and is receiving palliative home care the day. Which intervention should the nurse ask the PN to ensure the family is providing the client?: MUCOUS MEMBRANE MOIST
5. The nurse is caring for a group of five clients with the assistance of an ex- perienced and capable unlicensed assistive personnel (UAP). Which nursing actions can the nurse delegate to the UP? (Select all that apply.): POST OP VITAL SIGNS
HYGIENE CARE FOLLOWING TRAUMATIC FOOT AMPUTATION
6. When triaging emergency room clients, which client should the nurse assess first?: FEMALE WITH SEVERE RIGHT LOWER ABDOMINAL PAIN FEBRILE AND VOMITING *Confirm
7. While eating breakfast, a client admitted with syncope and a 2-month history of vertigo complains of dizziness. Using the standard communication tool SBAR (Situation, Background, Assessment, Recommendation), which statement is best for the nurse to provide the healthcare provider about the client's background?: The client's significant history includes atrial fibrillation and hypoglycemia.
8. Several nurses are elected by their peers to serve on a negotiating commit- tee to recommend new healthcare benefits: BE AVAILABLE TO ALL SHIFTS TO DISCUSS CHANGES IN HEALTH BENEFITS
9. Several family members are visiting a client who had a myocardial in- farction 4 days ago. The unlicensed assistive one of the visitors is lying on the client's bed. Which action should the nurse implement?: EXPLAIN THE CLIENT HAS THE RIGHT TO HAVE VISITOR LIE ON THE BED
10. . The healthcare provider prescribes an oral medication to be given daily for 3 days. However, the medication was also given on the fourth day.: RE- VIEW MEDICATION TRANSCRIPTION WITH THE NURSE. [Show Less]