Nurs
Client call lights
come on while the unlicensed assistive personnel (UAP) sits at a desk and reads a magazine. When the
nurse asks the UAP to
... [Show More] answer the lights, the UAP says, "Those aren't my clients." What is the best
response by the nurse?
1. "Would you mind answering the lights anyway?"
2. "I need you to answer the lights because we want to provide good client care."
3. Say nothing and answer the lights, but write up a disciplinary action
4. Tell the UAP that this is unacceptable and speak to the nurse manager. - answer-2
The risk management nurse is reviewing client records. Which nursing intervention could have
contributed to a sentinel event?
1. Administered flumazenil to a client who overdosed on lorazepam
2. Administered insulin/dextrose to a client with potassium level of 7.2 mEq/L (7.2 mmol/L)
3. Administered warfarin to a client with International Normalized Ratio of 6
4. Initiated nitroprusside infusion in a client with blood pressure of 210/112 mm Hg - answer-3
The registered nurse is caring for multiple clients on a busy surgical unit and should delegate which
action to the unlicensed assistive personnel?
1. Assist client, post hip fracture repair, to the bathroom
2. Check the appearance of client's wound
3. If client tolerates oral liquids, discontinue nasogastric tube
4. Offer orange juice to client if bedside glucose reading is <70 mg/dL (3.9 mmol/L) - answer-1
Which statements related to ethical nursing practices are correct? Select all that apply.
1. Accountability is documenting that the nurse administered the wrong medication
2. Autonomy is informing the client of the decision the family made for the client
3. Confidentiality is respecting a client's request to keep suicidal ideation a secret
4. Justice is providing the same cardiac care to a homeless person as a businessperson 5.Nonmaleficence
is reporting abuse for a client with Alzheimer disease - answer-1,4,5
A major earthquake has occurred. Local gas lines and water pipes are breaking with resulting fires and
flooding in collapsed buildings. Multiple victims come to the triage area. Which client would the nurse
care for first?
1. Charred leathery skin over entire back, chest, and legs
2. Client shivering from sitting in water until rescued
3. Diabetic client who was unable to take insulin today
4. High-pitched, crowing inspiratory respirations - answer-4 [Show Less]