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 the clients 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?
Peer-reviewed nursing journals
A nurse is reinforcing teaching about home safety with an older adult client. Which of the following statements by the client indicates an understanding of the teaching?
"I will paint the edge of each of my entry steps a different color"
A nurse is assigned to care for a client who is in isolation. Which of the following actions should the nurse take to mange time effectively while caring for this client?
Organize care into groups that can be performed at one time.
A charge nurse is evaluating the documentation of care for four clients by a newly licensed nurse. Which of the following entries requires intervention by the charge nurse?
Administered 10.0 u of insulin SQ to client for elevated glucose level.
A nurse is assisting in the planning of in-home care for a client following a right hip arthroplasty. Which of the following interventions is the nurse's priority?
Reinforce teaching about the clients use of a walker
A nurse is preparing to document client care in the electronic health record for a client who is postoperative. Which of the following should the nurse include in the documentation?
A treatment that was refused by the client.
A nurse is contributing to the plan of care for a client who has acute hypothyroidism. Which of the following interventions should the nurse include in the plan?
Provide the client with a reduced-calorie diet
A nurse arrives for her shift and is assigned more clients than she feels is safe. The charge nurse states there are no other options due to a shortage in nursing staff. Which of the following actions should the nurse take?
Submit a written complaint to the nursing supervisor [Show Less]