RN Leadership Online Practice 2016 B
Accommodating new bariatric services Role Model
Encourage staff
2. Administering medication to a client with
... [Show More] Crohn's disease. Client is too tired. Inform client of consequences
3. Admitting a client to a cardiac intensive care unit. When does discharge planning begin? At the time of admission
4. Admitting clients following an earth quake Sucking Chest wound
5. Appropriate tasks that a nurse can delegate to an assistive personnel Record a client's meal intake
6. Assessing a client who is post op and has a PCA. Client is restless, has an elevated pulse, and decreased BP. Modified Trendelenburg
7. Assistive Personnel tells the charge nurse that it is unfair she has to take care of all the clients who are incontinent I delegate tasks to personnel based on their job description
8. Caring for a client who has a sealed radiation therapy implant. Precaution to take? When wearing the lead apron, avoid turning her back to the client
9. Case manager is planning a teaching on use of critical pathways critical pathways prevent unnecessary expense
10. Change of shift report, which patient should the nurse assess first Abdominal surgery 6 hr ago and a HR of 120/min for the last 2 hours
11. Charge notices new nurse does not finish client care tasks Set aside time to plan at start of shift
12. Charge nurse evaluating novice.. client on continuous NG tube feeds.. what should be part of plan of care? Use 60 mL syringe to flush
13. Charge Nurse is conducting an in service with staff about infection control.. droplet precautions Pertussis
14. Charge nurse is planning assignments, which should be assigned to the LPN? Provide enteral feeding to a client who has Crohn's disease
15. Charge nurse observes that nurse's behavior has changed over the past few weeks. Which is an indication that the nurse is working while impaired? Isolates herself
16. Charge nurse observing a new nurse perform an abdominal assessment. Place the client in dorsal recumbent position for the exam
17. Client in the ED reports weakness, vomiting, diarrhea for past 3 days. Serum potassium level
18. Client is comatose with living will that declines use of artificial enteral feedings but family requests feedings are started Review clients requests with family
19. Client recovering from a Stroke Discuss patient concerns
20. Client with a terminal illness voices concern about how she will care for herself following discharge case manager will coordinate
21. Client with back pain presents to the ED and is provided oxycodone. Staff nurse feels client is seeking drugs and not in distress. Clients are experts on their own pain
22. Developing a plan of care for a school aged whose family is homeless, what is the priority? Child has inflamed fissures at the corners of her mouth
23. Discharge care for an older adult client who has rheumatoid arthritis. Difficulty buttoning her clothing Occupational therapy
24. Discharge teaching to a patinet who is scheduled to receive oxygen at home Verify flow rate on equipment daily
25. Education about patient protection and the affordable care act and patient rights My insurance coverage no longer has lifetime coverage limits
26. Four clients on Med Surge unit... assess first? Post op total knee and cap refill of 3 seconds
27. Group of clients.. Which is priority? 2 days post op and 20 mL/hr of urine
28. Home health nurse is planning daily visits and receives lab results.. See first? Platelets 100,00
29. Information on health care law to a group of newly licensed nurses. The Patient Self Determination act
30. Interprofessional conference for client who is 3 days post op.. Priority? Client refuses to attend PT sessions
31. Massive community disaster and stable clients must be discharged to prepare for new casualties. Client with Multiple sclerosis
32. Med Surge nurse is caring for terminally ill patient. Action that demonstrates ethical care Collaborate with client to establish realistic goals
33. Newly licensed nurse about using electronic medical records. My access to client records may be tracked by nurse manager
34. New nurse caring for a patient with pulmonary tuberculosis. N95 respirator mask when in the client's room
35. New nurse learning about incidence reports I should complete an incident report for an unexpected client occurrence
36. Notification of Fire on the unit... first action? Assist
37. Nurse caring for a client who has a right lower leg DVT and a prescription for application of an aquathermia pad to the right lower leg Report if the pad is too warm
38. Nurse is caring for a client who has a mutation of the BRCA2 gene, client states she doesn't plan to tell her adult daughters. What response displays client advocacy Let's review what you understand about this test result
39. Nurse is reviewing a client's medication administration record and finds that client has not received prescribed dose of Warfarin for past 2 days. Check client's INR
40. Nurse is serving on a committee that is considering the creation of a policy that will allow nurses to insert PICC in the ICU. Consult in planning for this policy? State Nurse Practice Act
41. Nurse manager completing a performance improvement audit and determines documentation of client discharge teaching is below benchmark... action to implement first? Determine the factors that interfere with the documentation of client education
42. Nurse manager finds an increase in urinary tract infections. action to take first? Perform a chart review
43. Nurse manager is conducting an annual performance review. Best strategies Include peer evaluations
Self appraisal
Performance checklist
44. Nurse manager is reviewing stages of conflict resolution with nursing staff Latent conflict
Perceived conflict
Felt conflict
Manifest Conflict
Conflict aftermath
45. Nurse overhears 2 nurses discussing a client's care. Intervention to take? Report to nurse manager
46. Nurse talking to daughter of Alzheimer's patient... daughter is crying Respite Care options
47. Observing new nurse perform a sterile dressing change.. APPROPRIATE action? Picks up first glove by grasping folded cuff edge
48. Obtaining a clients informed consent, what is nurse's role? Confirm voluntary signature
49. Older adult client who has renal failure decides to stop hemodialysis.. action? Support client's decision
50. Older adult client with dementia and has become aggressive. Client has been prescribed wrist restraints Apply padded portion of the restraint around the client's wrist
51. Planning care for a client without Advanced Directives.. intervention? Provide client with information about AD
52. Plan of care for a total hip arthroplasty. Action to take? Inform AP of client's weight bearing status
53. Public health nurse is developing recommendations for her supervisor on how to implement evidence based practice to improve community outcomes Phenomenology
54. Show the client where the power button is Ensure call light is within reach
55. Small spark when plugging in an infusion pump. Tag pump as broken
56. Staff nurse detects alcohol on the breath of another nurse, unsteady gait and occasionally slurred speech. Notify charge nurse
57. Teaching new nurse about obtaining telephone prescription from a provider Repeat prescription to provider for verification
58. Terminally ill client receiving nutritional support. Adult children disagree and dilemma is referred to ethics committee assisting in weighing the options involved
59. Two nurses feel the other is not doing fair share Explore alternative solutions
60. Which instruction from a nurse reflects effective communication regarding delegation of a task to an assistive personnel Check the urinary output at 1100 for John Doe and report it to me immediately [Show Less]