A nurse is creating a discharge plan. Which of the following nursing statements indicates the nurse understands when discharge planning should be
... [Show More] implemented?
"I will begin upon the client's admission to the facility."
A nurse on a medical unit is planning care for several clients. Which of the following clients should benefit most from the nurse acting as an advocate?
An older adult client who has no family and is uncertain about moving to assisted living
A nurse has received change-of-shift report on a group of clients and is preparing her assignment. Which of the following clients should the nurse assess first?
A client who was admitted for chest pain and is reporting a new onset of indigestion
A nurse in a clinic is caring for a client who reports pain, crepitus and a popping sound in his temporomandibular joint. Based on these findings, to which of the following providers should the nurse request a referral for the client?
Oral surgeon
A nurse is prioritizing care for two clients at the start of the shift. The first client, who is 1 day postoperative following a partial bowel resection, requires a dressing change, total parenteral nutrition administration and reports a pain level of 6 on a scale of 0 to 10. The second client, who has a newly inserted percutaneous gastrostomy tube, requires a tube feeding, dressing change, and daily weight. Which of the following nursing actions should the nurse plan to complete first?
Obtain vital signs for both clients
A nurse is implementing direct nursing care for a group of clients in an acute care facility. Which of the following actions by the nurse is considered an indirect nursing care activity?
Assigning tasks to an assistive personnel (AP)
A nurse in a long-term care facility is planning care for several clients. Which of the following activities should the nurse delegate to the licensed practical nurse (LPN)?
Scheduling a diagnostic study for a client
A nurse is transcribing a client's medication prescriptions and is having difficulty reading a written prescription by the provider. Which of the following nursing actions should the nurse take?
Contact the provider to clarify the prescription
A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses. Which of the following actions is an example of a violation of confidentiality?
Reporting laboratory findings to a member of the client's family
A nurse is caring for a client who has rheumatoid arthritis and is experiencing difficulty feeding herself using adaptive devices. The nurse should initiate a referral with which of the following members of the interprofessional health care team?
Occupational therapist
A nurse is receiving change-of-shift report for a group of assigned clients. The nurse anticipates which of the following activities first in delivering client care using the nursing process?
Collect and organize client data
A nurse is caring for an older adult client. The nurse should recognize the client is at risk for which of the following physiological changes?
-Decreased gastric motility
-Decreased skin elasticity
-Increased pain threshold
A nurse is preparing an educational presentation about organ donation for a group of newly licensed nurses. Which of the following information should the nurse include?
The nurse may serve as a witness to informed consent for organ donation
A nurse is caring for an older adult client who has a fractured hip and will require rehabilitative care. The client's family asks the nurse for information about this type of care. Which of the following explanations should the nurse provide?
This service began with client's admission to the hospital
A nurse is orienting a newly licensed nurse about receiving telephone prescriptions. Which of the following statements by the newly licensed nurse should indicate a need for further teaching?
"Telephone prescriptions are transcribed into the nurse's notes."
A nurse is planning the discharge of a client who has sleep apnea and requires bi-level positive airway pressure (BiPAP) at night. The nurse should plan to consult with which of the following health care team members to help educate the client?
Respiratory therapist
A nurse is giving change-of-shift report using SBAR to the oncoming nurse on a client who has a traumatic brain injury. Which of the following information should the nurse include in the background segment of SBAR?
Code status
A nurse has completed an informed consent form with a client. The client then states, "I have changed my mind and do not want to have the procedure done." Which of the following actions should the nurse take?
Notify the surgeon that the client wishes to withdraw informed consent for the procedure [Show Less]