Management

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 reinforcing teaching with a newly licensed nurse about the role of the nurse in informed consent. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

"My signature on the consent form indicates the client gave consent for the procedure voluntarily"

A nurse is preparing to teach the health care team about the concept of critical pathways. Which of the following statements about the purpose of a critical pathway should the nurse plan to include?

"A critical pathway is a multidisciplinary tool that guides client care and bases outcomes on an externally imposed timeline." A critical pathway outlines the actions that members of the health care team must complete in a timely manner to achieve desired client outcomes and an appropriate length of stay for the particular diagnosis.

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 is assisting with the evacuation of clients who have been triaged following a mass casualty event. Which of the following clients should the nurse recommend for first transport to the health care facility?

A client who has paradoxical respirations and has been assigned a red tag

A nurse in a pediatric unit is assisting with preparing a list of clients for potential discharge to home due to a local incident involving multiple children. Which of the following clients should the nurse place on the potential discharge list? (Select all that apply.)

A preschooler who has asthma and has scattered wheezes that resolve with PRN use of albuterol A school-age child who has a femur fracture in an external fixation device and whose pain is controlled with PRN oral codeine An adolescent client who is developmentally delayed, has a PICC line, and needs 6 more weeks of antibiotics

A nurse on a pediatric unit is assisting with the care of a group of clients. Which of the following clients would benefit most from an interprofessional care conference?

An infant who has cystic frbrosis and is continuing to lose weight

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 nurse take first?

Ask the client to identify his goals for recovery

A nurse is contributing to the plan of care for a client who has a prescription for a 24 hr urine specimen. Which of the following interventions should the nurse plan to include? (Select all that apply.)

Begin the timed collection by discarding the first specimen. The nurse should begin the timed collection when the client voids. This nurse should discard the first specimen. Post the times for urine collection above the toilet in the client's bathroom. The nurse should post information about the urine collection testing, including the start and end time, in a prominent place to prevent accidental discarding of urine. Obtain a clean specimen collection container for use during the test. The nurse should obtain a clean container for the client to use during the testing period to avoid contamination of the specimen.

A charge nurse is a member of the resource management team for a skilled care facility. Which of the following actions should the charge nurse implement to ensure the facility is providing cost-effective wound care for clients?

Develop a spreadsheet to prepare a budget for wound care supplies

A nurse is discussing delivery models of care with a group of newly licensed nurses. Which of the following should the nurse include as an example of the functional nursing model of care?

Nurses are assigned specific tasks to perform for each of the clients

A nurse is monitoring a client who is receiving IV fluids via an infusion pump and notes the pump is malfunctioning. Which of the following actions should the nurse take?

Place a tag on the IV pump

A nurse is preparing to delegate assignments after receiving change-of-shift report. Which of the following tasks should the nurse assign to an assistive personnel (AP)?

Provide postmortem care

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 nurse is preparing to reinforce discharge teaching with a client who speaks a different language than the nurse. Which of the following actions should the nurse plan to take? (Select all that apply.)

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.

An experienced nurse is serving as a mentor to a newly licensed nurse. Which of the following actions should the mentor take?

Serve as a guide and teacher for the newly licensed nurse in an established relationship. A mentor establishes a nurturing relationship with a newly licensed nurse and is willing to invest time and resources to help this person develop as a nurse and an individual.

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 in a skilled nursing facility is caring for a group of clients. Which of the following actions demonstrates the nurse's role as client advocate?

The nurse assists a client in communication end of life decisions to the provider

A nurse is participating on a committee that is revising the facility's policies and procedures for infection control. Which of the following instructions should the nurse recommend including in the facility's infection control manual?

Use a 1:10 bleach solution to clean blood spills

A nurse is participating in an ethics committee meeting about a client who has a history of alcohol use disorder and is in need of a liver transplant. Which of the following actions should the committee take first?

collect information related to the issue

A nurse manager has displayed such behaviors as establishing staff nurse committees to address unit issues, instituting an open-door policy for talking about concerns, and supporting the professional development of all staff. Which of the following leadership styles is the nurse manager displaying?

democratic

A nurse enters the room of a client who is sleeping and observes sparks coming from a frayed bed plug in the client's electrical outlet. Which of the following actions should the nurse take first?

evacuate the client

A home health nurse is reinforcing teaching about the effects of carbon monoxide poisoning. Which of the following manifestations should the nurse include?

headaches

A nurse receives morning change-of-shift report and delegates several tasks to an assistive personnel (AP) on the team. Which of the following tasks should the nurse instruct the AP to perform first?

obtain the morning capillary blood glucose tests

A nurse is walking with a client who falls after the wheel on a facility-issued walker falls off. Which of the following actions should the nurse take regarding the completed incident report?

submit variance to the risk manager.