ANS: D Show
cont.... ANS: C Recommended textbook solutions
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Terms in this set (98)a nurse is working with an assistive personnel (ap) to care for a group of clients on a pediatric unit. which of the following tasks should the nurse have the ap perform first? Check the A nurse manger is reviewing the Good Samaritan laws with a group of
newly licensed "If you render aid in an accident, do not leave the scene until another competent person can take over." A nurse is recieving change of shift report and is delegating tasks to the AP. The nurse should tell the AP to complete which of the following tasks first? Perform blood glucose monitoring of a client who has a prescription for short-acting insulin prior to breakfast. A nurse has been reassigned from her regular area of work to a unit that is short staffed. Which of the following actions should the nurse do first? Ask what she will be assigned to do A nurse is providing care for a surgeon on a medical surgical unit. A nurse from another unit asks the nurse about the surgeons medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principals? Nonmalefience A nurse is triaging clients in an urgent care clinic. Which of the following clients should the nurse have the provider care for immediately? A middle adult male who is diaphoretic and reports epigastric pain A nurse is caring for four clients who are postoperative from surgery 24 hr ago. At 1200 the nurse assesses the clients. Which of the following clients is the nurse's priority? A client whose blood pressure at 0800 was 138/86 mm Hg and at 1200 is 106/60 mm Hg
a charge nurse is working with an assistive personnel (uap) who provides excellent care to clients and is an effective team member. which of the following actions should the nurse take first to recognize the ap's contributions Give positive feedback directly to the AP. A nurse is caring for a client who has named a person to serve as his health care proxy. The client states he needs clarification about his type of advance directive. Which of the following statements by the client indicates a need for clarification? "I have to choose a family member as my health proxy." A nurse is assessing four clients on a Medical-Surgical unit. Which one of the following A client who has a cast on the left leg and reports numbness and paresthesia a nurse has several tasks to delegate to an assistive personnel (ap). which of the following tasks should the nurse ask the ap to perform first? take an atrial blood. Take an arterial blood gas (ABG) specimen to the laboratory. a charge nurse is making assignments for nursing personnel who will be caring for clients during the oncoming shift. which of the following factors should the charge nurse consider? The physiologic status of the clients on the unit a nurse is receiving morning report on the following four clients. Which of the following clients should the nurse see first? A client who was administered glipizide for type 2 diabetes mellitus and has a blood glucose of 68 mg/dL A nurse is delegating care activities to a licensed practical nurse (LPN). Which of the following is the priority criteria the RN considers when delegating? State Nurse Practice Act for the LPN A client who fell and broke his hip while assisted to the bathroom by a nurse states he plans to sue the nurse. the nurse should know that, in a legal proceeding, the standard that will be used to determine if the nurse was negligent is what? Another staff nurse provides testimony about how a reasonable, prudent nurse would have handled the situation. A nurse overhears two assistive personnel (AP) discussing a hospitalized client while in the cafeteria. Which of the following is the most appropriate nursing action? Quietly tell the APs that this is not appropriate. A nurse on a medical-surgical unit is reconciling a new admitted client's medication. The nurse is reveiwing the process of medication reconcilliation with a newly licensed nurse. The nurse should include which of the following information? The purpose of medication reconciliation is to prevent adverse medication reactions A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication? Nonmaleficence An Assistive personal (AP) a nurse on the unit tells the nurse that she observed a nurse on the unit removing a small amount of morphine from syringes prior to administering the medication to clients. Which of the following actions should the nurse manager take first? gather data about the nurses work performance and attendance history a nurse is serving on a continuous quality improvement committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. which of the strategies should the committee plan to initiate first? review the events leading up to each medication administration error a nurse is caring for a client who is participating in a research study experiment for an experimental chemotherapy medication. after three treatments, the experimental medication is discontinued due to evidence of rapidly advnacing kidney falure. The nurse should understdn that discontinuing this medication deonstartes which of the following ethical principals? Nonmaleficence A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on the next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict? "I need to talk to you about unit expectations regarding delegating and completing tasks" When planning delegation of tasks to assistive personnel a nurse considers the 5 rights of delegation. which of the following should the nurse consider when using one of the five rights of delegation? The AP has the knowledge and skill to perform the task a nurse is caring for a client who has severe head injury and s declared brain dead. The transplant coordinator has spoken with the clients family about organ donation. The clients spouse states that she is confused and does not know what she should do. Which of the following responses by the nurse is appropriate? "What do you think your spouse would have wanted?"
A nurse is caring for a client on a medical-surgical unit. The client has been taking warfarin at home and her labratory values reveal her INR is 3.5. The client states she is checking herself out of the hospital and refuses to wait until her provider can discuss the situation with her. Which of the following actions should the nurse take? explain the risk the client faces if she leaves the facility While caring for a client, the nurse experiences a needle stick injury. Which of the following actions should the nurse take first? Wash the cite of injury with soap and water A nurse in a long-term care facility has assigned a task to an assistive personnel (AP). The AP refuses to perform the task. Which of the following is an appropriate statement for the nurse to make? "I need to talk to you about the unit policies regarding client assignments." A nurse of a medical-surgical unite is planning to delegate tasks to an adult volunteer. Which of the following tasks should the charge nurse avoid assigning to the volunteer? observing a postoperative client who is confused a nurse is caring for several clients. for which of the following should the nurse complete an incident report? A client discovers that his dentures are missing A charge nurse has access to the facility's electronic client records. It is appropriate for the charge nurse to share her personal password with whom? no one A nurse is caring for a client has severe head injuries and is declared brain dead. The transplant coordinator has spoken with the clients family about organ donation. The clients spouse states she is confused and does not know what she should do. Which of the following responses by the nurse is appropriate? "What do you think your spouse would have wanted?" A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on the next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict? "I need to talk to you about unit expectations regarding delegating and completing tasks." A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the steps in the order in which they should be performed in the case of a fire emergency. (Move the steps in order) Rescue Clients While caring for a client, the nurse experiences a needle stick injury. Which of the following actions should the nurse take first? Wash the site of injury with soap and water. an assistive personnel (UAP) tells the nurse manager that she observed a nurse on the unit removing a small amount of morphine from the syringes prior to administering the medication to clients. Which of the following actions should the nurse manager take first? Approach the involved nurse to discuss the behavior. A nurse on a medical-surgical unit is reconciling a newly admitted client's medication. The nurse is reviewing the process of medication reconciliation with a newly licenced nurse. The nurse should include which of the following information? The purpose of medication reconciliation is to prevent adverse medication reactions A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication? Nonmaleficence Client is considering having tubal ligation and reports being uncertain if it is the right thing to do. which of the following actions should the nurse take? Discuss the client's feelings about the procedure. A nurse on a mental health unit is teaching a newly licensed nurse about client rights. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? Clients on a mental health unit can refuse their medication. a nurse is receiving report from the assistive personnel (AP) assigned to the nurse's group of clients. Which of the following statements from the AP indicated the client the nurse should assess first? The client who had an indwelling urinary catheter removed 8 hr ago reports an inability to void. (Not voiding for 6 to 8 hr after indwelling urinary catheter removal indicates this client is at risk for urinary retention, which can cause a urinary tract infection. Overdistention of the bladder can cause damage to the mucosa. Therefore, the nurse should assess this client first and report findings to the provider.) A nurse manager needs to address an increased rate of client medication errors. Which of the following strategies represents an authoritarian approach to managing the issue? Inform the staff of the penalties that can result from medication errors. (The nurse manager is using penalties to promote behavior change; this is characteristic of authoritarian leadership.) a charge nurse is preparing to observe a newly licensed nurse performa routine abdominal assessment. Which of the following actions should the charge nurse expect the newly licensed nurse to take? Place the client in a dorsal recumbent position for the examination. (To prepare the client for a routine abdominal assessment, the nurse should place the client in a dorsal recumbent or supine position and ensure that the client relaxes her abdominal muscles.) a nurse is caring for a client who report vomiting and diarrhea for the past 6 hr. The nurse should identify that which of the following assessments is the priority? Obtain the client's serum potassium level. (Because vomiting and diarrhea contribute to the loss of potassium through body fluids, the greatest risk to this client is life-threatening cardiac dysrhythmias as a result of hypokalemia; therefore, the nurse should identify that the priority assessment is the client's serum potassium level.) an assistive personnel (AP) tells a charge nurse that it is unfair that they have to take care of all the clients who are incontinent. Which of the following responses should the charge nurse make? I delegate tasks to personnel based on their job descriptions (This response addresses the AP's concerns and provides clear information about the charge nurse's responsibility when delegating tasks.) A nurse is observing a newly licensed nurse perform a sterile dressing charge on a client who has a central venous catheter. Which of the following actions should the newly licensed nurse take? Picks up first sterile glove by grasping the folded cuff edge (The nurse should pick up the first sterile glove by grasping the folded cuff edge, which is the palmar side, to prevent contamination of the outside of the glove.) A nurse is reviwing a clients pathway upon discharge follwoing hip arthroplasty. Which of the following infromation can assist the nurse in evaluating the cost effectiveness of the care? The length of the client's stay (The client's clinical pathway is a standardized approach to assist the nurse to provide cost-effective client care and shorten the length of stay.) a charge nurse is observing a newly licensed nurse's use of time-management skills. Which of the following actions by the newly licensed nurse indicated effective use of this skill? Groups tasks that are in the same location (The newly licensed nurse should group tasks that are in the same location to effectively use time. This prevents the nurse from going back and forth from one area to another. This action promotes effective time-management skills.) a nurse in an emergency department is admitting clients following an earthquake. The emergency disaster plan has been implemented due to the anticipated arrival of a large number of casualties. Which of the following clients should the nurse recommend the provider evaluate first? A client who has a sucking chest wound (A client who has a sucking chest wound has an immediate threat to life and requires immediate intervention for survival; therefore, when using the survival approach to client care, the nurse should recommend the provider evaluate this client first.) a nurse manager is teaching about confidentiality requirements to the staff. Which of the following staff comments indicates an understanding of the teaching? Change-of-shift report can be given at the client's bedside. (Change-of-shift report is often given at the client's bedside to help protect the client's privacy. This allows the client to be involved with their care. The nurse should avoid giving report in public areas, such as in the hallway.) a nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the following clients is the priority? A client who has peripheral vascular disease and has an absent pulse in the right foot (When using the airway, breathing, circulation approach to client care, the nurse determines that the priority finding is an absent pulse, which indicates no blood flow to the extremity.) A nurse is reviewing safe use of a wheelchair with a group of assistive personnel. Which of the following instructions should the nurse include? Raise the footplates of the wheelchair before transferring the client. (The nurse should raise the footplates of the wheelchair before transferring the client to prevent injury.) A nurse asks a newly hired assistive personnel (AP) to remove a client's indwelling urinary catheter. Which of the following actions should the nurse take to ensure the AP is qualified to perform this task? Review the AP's skill competency checklist. (A review of the AP's checklist should validate that they have demonstrated the ability to safely perform the procedure.) A nurse on a medical-surgical unit is caring for a client transferring from another department. The nurse should verify that the client has given informed consent prior to which of the following procedures? Receiving moderate sedation (The nurse should verify that the client has given informed consent prior to receiving moderate sedation because this involves anesthesia.) A nurse is caring for a client who is hospitalized and has expressive aphasia. The client's family reports that the nurse failed to obtain written informed consent before inserting an indwelling urinary catheter. Which of the following responses should the nurse make? This is a procedure that does not require a written informed consent. (The client does not need to sign an informed consent form for insertion of an indwelling urinary catheter. The client gives implied consent by complying with the procedure.) A nurse is caring for a client who is scheduled for outpatient surgery. Which of the following actions should the nurse take to verify the client gave informed consent? Ask the client to explain the procedure that is being performed. (The nurse should ask the client to explain the procedure that is being performed. This allows the nurse to verify the client's understanding of the information provided by the provider prior to witnessing the client's signature on the consent form.) A nurse from a medical unit is asked to work on an orthopedic unit. the medical nurse has no orthopedic experience. Which of the following clients should be assigned to the medical nurse? A client who had a right above-the-knee amputation 24 hr ago (A nurse from a medical unit can care for this client because the surgical dressing is usually left in place for 48 to 72 hr, so the residual limb does not require special care at this time.) a charge nurse observes that a staff nurse's behavior has changed over the faw few weeks. Which of the following behaviors should the nurse identify as an indication that the staff nurse might be working while impaired? Frequent use of restroom (Frequent use of the restroom can indicate that the nurse might be working while impaired. Other indications can include frequent errors, mood swings, inability to focus, and excessive wasting of controlled substances.) a charge nurse is planning client care assignments for a unit. Which of the following tasks should the nurse assign to a licensed practical nurse (LPN)? Provide an enteral feeding to a client who has Crohn's disease. (Administration of an enteral feeding is within the scope of practice of an LPN; therefore, it is appropriate for the charge nurse to assign this task to an LPN.) a charge nurse is observing a newly licensed nurse who is caring for a client who has pulmonary tuberculosis. The charge nurse should expect the newly licensed nurse to take which of the following actions? Wear an N95 respirator mask when in the client's room. (The nurse should wear an N95 respirator mask when caring for clients who have suspected pulmonary tuberculosis.) A nurse is planning discharge of a newborn who requires apnea monitoring at home. To which of the following community agencies should the nurse anticipate referring the guardian of the newborn? Home Health (A home health agency can provide nurses who will visit the home and help the guardian learn necessary skills, as well as assess the progress of the infant.) a nurse is preparing to administer medication to a client who has Crohn's disease. The client states "I want to skip this dose of my medication. I am too tired to take it." Which of the following actions should the nurse take? Inform the client of the consequences of refusing the medication. (The nurse should inform the client of the consequences of refusing the medication. It is the client's right to decide whether to take the medication. If the client still refuses after receiving further information, the nurse should waste the medication and document the occurrence in the client's medical record.) a nurse is developing a plan of care for a school-age child whose family is homeless. Which of the following findings should the nurse identify as the priority? The child has red fissures at the corners of the mouth. (Using Maslow's hierarchy of needs, the nurse should determine that the priority finding is red fissures at the corners of the child's mouth. This can indicate a vitamin B deficiency, which is a physiological need.) A nurse receives notification of a fire on the unit. Which of the following should the nurse take first? Assist clients who are in immediate danger to a safe location. (The greatest risk to clients is injury from the fire. Therefore, the first action the nurse should take is to move clients who are in immediate danger to a safe location.) a charge nurse is supervising the care of several clients. which of the following actions requires intervention by the charge nurse? A student nurse is photocopying his assigned client's diagnostic test results (Photocopying diagnostic test results is a breach of the client's confidentiality and privacy.) A case manager is planning an interprofessional conference for a client who is 3 days postoperative following an open reduction and internal fixation of the right hip. Which of the following concerns is the priority for discussion at the confrence? The client refuses to attend physical therapy sessions. (The greatest risk to this client is postoperative complications due to immobility, such as atelectasis or pneumonia; therefore, the priority for discussion is the client's refusal to participate in physical therapy.) A facility has been notified of a train derailment resulting in multiple clients experiencing life-threatening injuries. The external disaster plan has been activated. Which of the following is an appropriate action of the charge nurse on the PACU? Identify stable clients for transfer to a surgical unit (It is within the charge nurse's scope of practice to identify stable clients for transfer to a surgical unit. This action will enable the facility to do the most good for the greatest number of clients.) A nurse manager is planning an in-service for a group of nurses about caring for clients following stem cell transplants. Which of the following instructions should the nurse manager include in the teaching? Place clients in positive-pressure airflow rooms. (The nurse should place a client who requires protective environment precautions following a stem cell transplant in a private, positive-pressure airflow room. The room air is filtered through a HEPA filter and the airflow rate is set at more than 12 air exchanges each hour.) A nurse is caring for a client who has osteoarthritis and reports difficulty buttoning her clothes. Which of the following referrals should the nurse recommend for the client? Occupational therapist (The nurse should recommend a referral to an occupational therapist for a client who has osteoarthritis and reports difficulty with ADLs, such as buttoning clothing. Occupational therapy can assist the client with exercises to help the client complete these tasks.) A nurse is caring for a terminally ill client who is receiving nutritional support. The clients adult children disagree about continuing nutritional support. THe dilemma is referred to the ethics committee. The nurse should expect which of the following actions from the ethics committee? Assist in weighing the options involved in the decision. (Ethics committees are members of the interprofessional team who assist with problem solving related to ethical dilemmas. The ethics committee examines all of the facts and provides support for the clients and caregivers.) A nurse is serving on a committee that is considering the creation of a policy that will allow nurses to insert peripherally inserted central catheters in the intensive care unit. Which legal resource should the nurse consult in planning for this policy? State Nurse Practice Act (NPA) (The nurse should consult the NPA in this situation because the NPA defines the scope and boundaries of professional nursing practice. The NPA provides guidelines for developing standardized procedures within specific facilities where expanded nursing functions have been approved in collaboration with nurses, providers, and administration.) A nurse manager is auditing client charts and identifies an increase in ventilator-associated pneumonia (VAP). Which of the following actions should the nurse manager take? Notify the quality improvement team. (The nurse should report any unusual occurrences or trends, such as VAP within the unit, to the quality improvement team. The quality improvement team will analyze and evaluate the data to implement needed changes.) A nursing unit is undergoing changes to accommodate new bariatric services that will be available on the unit. Some staff members have verbalized displeasure with the changes. Which of the following should the charge nurse do? (Select all that apply.) -Role model a positive approach to the changes is correct A nurse is reviewing the plan of care for a client following a total hip arthroplasty. Which of the following actions should the nurse plan to take? Inform the assistive personnel of the client's weight-bearing status. (Assistive personnel can assist clients with ambulation in most cases with appropriate delegation from the nurse. The nurse should inform the AP of postoperative prescriptions for weight-bearing as part of safe care delegation.) A nurse is caring for a client who requests pain medication. The nurse fulfills a promise to return with medication within 15 minutes. The nurse is demonstrating which of the following ethical principles? Fidelity (The nurse is demonstrating fidelity by returning to the client's room with the medication in a timely manner. Fidelity is an ethical principle in which the nurse's actions are taken to display loyalty and keep a promise made to the client.) A client who has back pain presents to an emergency department and is provided a prescription for oxycodone. A staff nurse tells the charge nurse that they think the client is seeking drugs and is not actually in distress. Which of the following responses should the CN make? Clients are the experts on their own pain. (This response is appropriate because it indicates the nurse understands that the client's report is the best indicator of pain and is not making any assumptions.) A nurse is conducting an orientation class for new clients and their families at a long-term care facility. Which of the following client rights should the nurse address at the orientation? (Select all that apply.) -The right to be treated with respect and dignity A charge nurse is leading a committee that is revising the policy for client discharge. After developing the initial plan, which of the following actions should the nurse take next? Determine goals and objectives. (According to evidence-based practice, the nurse attempting to make a change or revision to a policy should first develop the initial plan and then determine goals and objectives. Objectives define strategies or implementation steps to attain the identified goals.) A nurse is caring for four clients. Which of the following assessment findings is the priority? A client who has a femur fracture and reports feeling short of breath (When using the urgent vs. nonurgent approach to client care, the nurse determines that the priority finding is a client who has a femur fracture and reports feeling short of breath. Clients who have a fracture can develop a deep-vein thrombosis, which can lead to pulmonary embolism.) Which of the following instruction provided by 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." (This instruction follows the Five Rights of Delegation by including the requirements for right direction/communication: the data to collect, client-specific information, a timeline for collection, and the expectation for communicating the findings back to the nurse.) a hospice nurse is planning care for a client who does not have advance directives. Which of the following interventions should the nurse including in the plan of care? Provide the client with information about advance directives. (Health care providers must offer information to clients regarding their rights to make decisions about their care.) a nurse is caring for a 19 year old client who has been informed that their cancer has metastasized. The Client tells the nurse that they do not want to continue chemotherapy. Which of the following responses should the nurse make? "I will gather information about palliative care for you." (The nurse is acknowledging the client's right to refuse treatment and is demonstrating support by offering to discuss end-of-life care options.) A nurse is caring for a client who is comatose. The client has a living will that declines the use of artificial enteral nutrition as a life-sustaining measure, but the client's family has requested that the staff begin tube feedings. Which of the following actions should the nurse take? Review the client's request with the family. (The client's living will states that artificial enteral feedings should not be allowed, and the nurse should review the client's request with the family. Staff members should use the client's living will as the guide for treatment unless a durable power of attorney for health care has been created.) a nurse is assigned care for four clients. Which of the following should the nurse plan to delegate to an assistive personnel (AP)? Determine a client's intake and output. (The nurse can delegate determining a client's intake and output to an AP, as this does not require the use of the nursing process and is within the range of function of an AP.) A nurse is caring for a client who is 3 days postoperative following open heart surgery and is to transfer to the medical-surgical unit. Which of the following should the nurse plan to include in the verbal report? The client's level of consciousness (The nurse should include objective data regarding the client's current consciousness status in the verbal report.) A home health nurse is planning her daily visits and receives laboratory results for four adult clients. The nurse should first see the client who has which of the following laboratory values? Platelets 100,000/mm3 (A client who has a platelet count of 100,000/mm3 is unstable because this value is below the expected reference range of 150,000 to 400,000/mm3, which places the client at risk for bleeding; therefore, the nurse should visit this client first.) A nurse is caring for a client who has a terminal illness and voices concern about performing care after discharge. Which of the following statements should the nurse make? Your case manager will coordinate the resources you will need. (A case manager coordinates a client's care, including resources for home care.) A charge nurse is observing a nurse perform a sterile dressing change for a client. Which of the following actions should the nurse identify as demonstrating sterile technique? The nurse places the sterile package with the top flap opening away from the body. (The nurse should place the sterile package on a flat surface so that the top flap opens away from the body. This prevents the contents of the sterile package from becoming contaminated.) A nurse walks into the nurses' station and sees several staff members looking at the electronic medical record for a celebrity client on another unit. Which of the following actions should the nurse take first? Remind the staff members that this is a breach of confidentiality. (When using the urgent vs nonurgent approach to client care, the nurse determines that the first action is to intervene immediately to prevent any further breach in confidentiality.) a charge nurse recognized a trend of poor attendance at monthly staff meetings. To address this issue, which of the following actions should the charge nurse take first? Explore the reasons that staff are not attending the meetings. (According to evidence-based practice, the nurse should first identify the reasons that staff are not attending the meetings. This allows the nurse to address the specific problems identified by the staff.) A nurse on a medical-surgical unit has arrived late to work multiple times over the past several weeks. The nurse manager is planning to use progressive discipline to address this problem. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) - Schedule a meeting with the nurse (The first step of the progressive discipline process is counseling the employee. The manager should set up a meeting with the nurse to ensure the nurse understands the expectations of the position. The manager should explain what the nurse must do to correct the behavior. If it continues, the manager should proceed to a written reprimand, which the manager and the nurse must sign to acknowledge that they discussed the issue. If the nurse's performance still does not improve, the manager should proceed with suspension. If the problem continues, the manager should terminate the nurse's employment.) A nurse manager finds that there has been an increase in urinary tract infections on the unit. To address this problem, which of the following actions should the nurse manager take first? perform a chart review to gather data about the clients who developed infections (The first action the nurse manager should take when using the nursing process is to assess. The nurse should conduct a chart audit to gain important information about the factors responsible for the increased incidences of infection.) A nurse is caring for a client who is recovering from a stroke. The provider recommends an extracranial-intracranial bypass, but the client tells the nurse that he will not have the surgery. Which of the following actions should the nurse take? Discuss with the client his concerns about having the surgery. (The nurse should ask the client relevant questions to determine their concerns regarding having the surgery. By asking relevant, open-ended questions, the nurse can help the client clarify their thoughts and feelings about the surgery. The nurse can then relay these concerns to the provider for further discussion if needed.) A nurse is planning discharge care for a client who had a stroke and now has left-sided weakness. Which of the following interventions should the nurse include in the plan of care? Advise the client to install grab bars in her bathroom at home. (The nurse should advise the client to install grab bars in the bathroom at home to reduce the risk for falls.) A client on a general surgical unit tells a nurse that staff members are not answering his call light promptly. The client requests to be transferred to another unit. Which of the following actions should the nurse take first? Ask the client to verbalize his expectations. (The first action the nurse should take using the nursing process is to assess; therefore, the first action the nurse should take is to assess the client's feelings and clarify expectations.) a nurse is providing preoperative teaching for a client who is schedules for a total knee arthroplasty and speaks a different language than the nurse. Which of the following inter professional team members should the nurse include in the discussion? Interpreter (The nurse should plan to request an interpreter for the client. The role of the interpreter is to interpret between the language spoken by the client and the language spoken by the nurse.) Two nurses on a unit each contend that the other is not doing a fair share of work. The conflict is affecting the functioning of the unit. The charge nurse should recognize that which of the following is an appropriate approach to this conflict? Explore alternative solutions to address unit workflow with the nurses (Exploring alternative solutions will allow the nurses to collaborate, which creates a higher probability that the nurses will reach a successful resolution.) A nurse on a quality improvement team is implementing a plan to decrease the rate of pressure ulcers in a long-term care facility. Which of the following actions should the team take to evaluate the effectiveness of the plan? Compare data from clients' records regarding skin integrity with established criteria. (Chart audits are an efficient and accurate way to measure if a change in a performance improvement indicator has occurred after an intervention is implemented.) A staff nurse has applied for a promotion. The hiring manager insinuates that if there was a sexual relationship between the two of them, the nurses promotion request would get increased consideration. Which of the following action should the nurse take first? Tell the hiring manager in clear terms that this conduct causes feelings of discomfort and that the behavior should stop immediately. Students also viewedUnit 1 Quiz10 terms ammcmahon3 Leadership Practice Assessment II45 terms nata84Plus NUR 204 ATI Management of Care Ch. 1-953 terms Sheldyn_Chinen6 Leadership practice 2019 a60 terms dalexis58 Sets found in the same folderDelegation Questions35 terms jordynjkeyes Leadership Final ATI50 terms Crohlfer Leadership Practice Assessment II45 terms nata84Plus Leadership ATI Proctored Focus, Leadersh…78 terms asare8102 Other sets by this creatorEmergency/ Triage Nursing Review5 terms move2change Cumulative Final Exam Review Pathophysiology144 terms move2change GI 224 terms move2change GI 166 terms move2change Verified questions
literature Interpret the provided examples of dialect in Standard English. **Regional Dialect - Standard English** St. Looey: ________ chaw: ________ yaller: ________ bannanner: ________ thish-yer: ________ Verified answer
literature In the sentence below, underline the pronoun in parentheses that agrees with its antecedent. Example 1. What can you do for someone who doesn’t think ($\underline{\text{he or she}}$, they) needs anyone’s help? Pablo is looking for a job with a company that offers *(its, his or her)* employees competitive starting salaries and good benefits. Verified answer
literature How would the effect of "Straw into Gold" have been different if Cisneros had not mentioned her weaknesses, such as her inability to come out of her shell? Verified answer
vocabulary Correct the word in italics. If the word is correct, write C in the blank. _____ The girl in the red sweater and the one in the blue dress are Jan and Jean, $\mathit{respectively}$. Verified answer Recommended textbook solutionsThe Language of Composition: Reading, Writing, Rhetoric2nd EditionLawrence Scanlon, Renee H. Shea, Robin Dissin Aufses 661 solutions
Technical Writing for Success3rd EditionDarlene Smith-Worthington, Sue Jefferson 468 solutions Technical Writing for Success3rd EditionDarlene Smith-Worthington, Sue Jefferson 468 solutions Technical Writing for Success3rd EditionDarlene Smith-Worthington, Sue Jefferson 468 solutions Other Quizlet setsReproductive System50 terms fantasticsarakate Ch. 25 AP Statistics TEST21 terms ckimto 8.3 The Process of Photosynthesis30 terms jeverett Theology Vocab side 216 terms dzhamdani17 What is the role of the nurse manager in assuring ethical nursing practice on the unit?A nurse manager must be aware of what is happening on the unit to prevent injury to the patient and exposing the staff to a potential malpractice situation.
Which of the following responsibilities are typically included in the role of the nurse manager?Nurse managers supervise nursing staff in a hospital or clinical settings. They oversee patient care, make management and budgetary decisions, set work schedules, coordinate meetings, and make personnel decisions. They also recruit and train nurses and other health care professionals and maintain a facility's records.
What is the best response for a nurse manager to handle someone who has a pattern of lengthy chatter quizlet?Feedback: If someone has a pattern of lengthy chatter and manages to corner you on rounds or at the nurse's station, say, "I can't speak with you now, but I'm going to have some free time at 11 AM.
What action should the nurse manager and other leaders in the health care organization perform in order to?What action should the nurse-manager and other leaders in the health-care organization perform in order to ensure that a quality control program will be effective? Integrate quality control through all levels of the organizational.
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You observe the unit nurse manager acting in a negligent manner what action should you take quizlet
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