A nurse is completing documentation on the computer at the nurses station when an assistive personnel (AP) requests to use the computer to enter morning
... [Show More] vital signs. Which of the following actions should the nurse take?
Ask the AP to find another computer
A nurse is caring for a client who is recovering following a total hip arthroplasty. The nurse receives a telephone call from the client's sibling requesting information about the client's status. Which of the following actions should the nurse take?
Transfer the call to the client
A nurse is planning to delegate care for a group of clients following change-of-shift report. Which of the following tasks should the nurse plan to assign to an assistive personnel (AP)?
Applying bilateral sequential compression devices to a client's leg
A nurse at a rehabilitation facility is supervising a newly hired assistive personnel (AP) during the transfer of a client from the bed to a chair. Which of the following actions by the AP demonstrates safe transfer technique?
Bends at the knees
A nurse is verifying informed consent with a client who is scheduled to have a total open abdominal hysterectomy with bilateral salpingo-oophorectomy for the treatment uterine cancer. The nurse should notify the provider for which of the following client statements?
"I wish I knew if there was another way to treat this other than surgery"
A nurse is assisting with the admission of a client who reports that they signed advance directives during a previous admission. Which of the following actions should the nurse take? (Select all that apply)
Document in the client's medical record that they have advance directives
Ensure that copies of the client's advance directives are located in their chart
Inform the oncoming nurse of the client's advance directives during change-of-shift report
A nurse is assisting with the development of a presentation for newly licensed nurses regarding client confidentiality. Which of the following actions should the nurse include as an example of a breach of client confidentiality?
Accessing client medical records from other units to compare outcomes with currently assigned clients
A nurse is assisting with a presentation about preparing a home disaster supply kit as a community health fair. Which of the following statements by a participant indicates an understanding of the information?
"I will purchase canned fruit for the kit"
A charge nurse notices a nurse on the unit arriving to work 30 min late. The nurse appears unkempt and has slurred speech. Which of the following actions should the charge nurse take first?
Reassign the nurse's clients to another nurse
A nurse is assisting with the selection of clients to discharge to make beds available following a tornado in the community. Which of the following clients should the nurse recommend for discharge?
A client who is recovering from a laparoscopic appendectomy that was performed 24 hr ago
A nurse is assisting with the care of an older adult client who is recovering from a stroke and is experiencing difficulty swallowing and performing ADLs. The client will be living with their adult child following discharge. The nurse should recognize that which of the following client referrals has the highest priority?
Speech therapy
A nurse in a providers office is reinforcing discharge teaching with an adult client who has a new prescription for ear drops for an inner ear infection. Which of the following instructions should the nurse include?
"Lie on your side when preparing to instill the ear drops"
A nurse realizes they have administered the wrong medication to a client. Which of the following actions should the nurse take first?
Monitor the client's vital signs
A nurse is contributing to the plan of care for a group of clients. Which of the following scenarios demonstrates effective use of time management techniques?
The nurse groups activities for a surgical client based on the client's pain medication schedule
A newly licensed nurse is caring for a client who requires a straight catheterization. The nurse informs the charge nurse that they only observed the procedure on two occasions. Which of the following responses should the charge nurse make?
"Let's discuss the procedure and I'll assist you with it the first time"
A nurse is participating in discharge planning for a client who has a new tracheostomy. Which of the following equipment should the nurse ensure is available for providing care for the client at home?
Portable suction
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 nurse is participating in a disaster drill and is assigned to assist with clients in the yellow tag staging area. The nurse should expect to assist in treating which of the following clients?
A client who has burns to the trunk and legs
A nurse is discussing the meaning of utilitarianism with newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this ethical theory?
"Utilitarianism provides the greatest good for the greater number of people"
A nurse is participating in a peer evaluation system based on overall performance of its nursing staff. Which of the following strategies ensures that the peer evaluation process is impartial and fair?
Uses the same objective measurement tool for all nurses
A nurse is serving on a performance improvement committee which is reviewing client falls. The data shows that most falls occurs between 2000 and 2200. Which of the following recommendations should the committee make?
check on clients hourly
A nurse is assisting an RN with developing a meal plan for a client who has neutropenia. Which of the following foods should the nurse recommend including in the meal plan?
fried fish
A nurse on a pediatric unit is assisting with the are of four clients. Which of the following clients should the nurse plan to see first?
A preschooler who has respiratory syncytial virus and is wheezing [Show Less]