PN VATI Management 2020 - Questions, Answers and Rationales A nurse is assisting with an interdisciplinary team to use clinical data to improve outcomes.
... [Show More] Which of the following competencies of Quality and Safety Education for Nurses (QSEN) is the nurse demonstrating? ➖ Patient-centered care ➖ Evidence-based practice ➖ Quality improvement ➖ Informatics Rationale: This QSEN competency involves the use of data to track outcomes and improvement processes to devise a plan to improve the safety of health care services and improve client's outcomes. A nurse is completing an incident report for a client found on the bathroom floor next to his wheelchair. Which of the following information should the nurse include in the incident report? ➖ Conclusion about the cause of the fall ➖ Names of any witnesses to the occurrence ➖ Summary of the client's words about the occurrence ➖ Recommendation for preventive measures Rationale: The nurses should include names of witnesses to the occurrence in the incident report. The nurse should also include the client's name, initials, identification number, and the date and time of the occurrence. A nurse in a long-term care facility is assisting with the preparation of an interprofessional care conference for a client who has Parkinson's disease. Which of the following findings should the nurse identify as the priority to report at the conference? ➖ The client reports worsening episodes of insomnia. ➖ The client is displaying a more pronounced propulsive gait. ➖ The frequency of the client's mood swings is increasing. ➖ The client has asked for medication to treat seborrhea. Rationale: The greatest risk to this client is injury from falling due to a more pronounced propulsive gait. Therefore, this is the priority finding the nurse should report. A nurse is assisting with the admission of a client who is planning to have surgery. The client has severe hearing loss and is unable to hear the preoperative instructions. Which of the following actions should the nurse take? ➖ Speak directly into the client's ear. ➖ Offer the client a sign-language interpreter. ➖ Ask the client why they didn't bring a family member with them. ➖ Speak loudly when addressing the client. Rationale: The nurse should attempt to verify that the client uses and understands sign language. Having an interpreter who uses sign language is the best way to make sure the client understands the information and can ask and receive answers to their questions. Finding a way to have effective two-way communication with the client demonstrates advocacy. A nurse enters a client's room and finds that smoke is coming from an electrical outlet. After assisting the client out of the room, which of the following actions should the nurse take next? ➖ Obtain a fire extinguisher. ➖ Turn off electrical equipment. ➖ Pull the nearest fire alarm. ➖ Close the doors and windows to the client's room. Rationale: The greatest risk to this client is injury from burns and smoke inhalation. Therefore, when using the RACE method for fire response, the next action the nurse should take is to sound the alarm. Then, the nurse should attempt to contain the fire by sealing off the doors and windows and turning off all electrical equipment. Lastly, the nurse should attempt to extinguish the fire. A nurse is providing care for an assigned group of clients. Which of the following clients should the nurse see first? ➖ A client who reports leg pain of 5 on a pain scale of 0 to 10. ➖ A client who reports diarrhea. ➖ A client who is scheduled to receive an antibiotic now ➖ A client who develops tachycardia Rationale: When using the airway, breathing, circulation approach to client care, the nurse's priority is checking on the client who develops tachycardia to ensure the client is not experiencing shortness of breath, angina, or shock. A newly licensed nurse is delegating tasks to an assistive personnel (AP). The AP refuses to perform the delegated tasks. Which of the following actions should the nurse take? ➖ Ask another staff member about the AP's performance. ➖ Request that another nurse delegates tasks to the AP. ➖ Inform the AP of the consequences of continued resistance to delegation. ➖ Report the AP's behavior to the nurse manager. Rationale: The nurse should address the conflict with the AP and report the actions of the AP to the nurse manager. The nurse manager is responsible for the resolution of workplace conflicts. A nurse is caring for a client who is considering surgery. The client asks the surgeon about alternative holistic therapies, but the surgeon does not want to discuss those options with the client. Which of the following actions should the nurse take? ➖ Discuss the benefits of the surgical procedure with the client. ➖ Notify the nurse manager about the situation. ➖ Explain the risks and benefits of using alternative medicine to the client. ➖ Reassure the client that the surgeon wants to provide the best possible care. Rationale: It is the surgeon's responsibility to respond to the client's questions and to provide information about alternative therapies. The nurse should discuss this issue with the nurse manager. A nurse is assisting in assigning care for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)? ➖ Check a client's nasogastric feeding tube placement. ➖ Assist with feeding a client who is new to the unit and requires swallowing precautions. ➖ Reinforce instructions for using an incentive spirometer with a client. ➖ Measure the vital signs of a client who is 24 hr postoperative following a cholecystectomy. Rationale: Measuring vital signs is within the AP's range of function. The nurse should collect data from the client to ensure the client is stable prior to assigning this task to the AP. After collection, the AP should report the vital signs to the nurse. A charge nurse working in a long-term care facility is delegating tasks for the upcoming shift. Which of the following actions should the nurse take? [Show Less]