Prep U Management of Care

A client is readmitted with an exacerbation of celiac disease 2 weeks after discharge. Which statement by the client indicates the need for a dietary consult? a) "I don't understand why this happened again; I didn't travel out of the country." b) "I don't like oatmeal, so it doesn't matter that I can't have it." c) "I don't understand this; I took the medication the doctor ordered and followed the diet." d) "I didn't eat anything I shouldn't have; I just ate roast beef on rye bread."

"I didn't eat anything I shouldn't have; I just ate roast beef on rye bread."

When documenting the care of a client, the nurse is aware of the need to use abbreviations conscientiously and safely. This includes: a) Limiting abbreviations to those approved for use by the institution. b) Ensuring the abbreviations are understandable to clients who may seek access to their health records. c) Using those abbreviations defined in full at another location in the client's chart. d) Using only abbreviations whose meaning is self-evident to an educated health professional.

A. Limiting abbreviations to those approved for use by the institution.

A client with esophageal cancer decides against placement of a jejunostomy tube. Which ethical principle is a nurse upholding by supporting the client's decision? a) Fidelity b) Nonmaleficence c) Autonomy d) Veracity

Autonomy

A nurse is working on the pediatric unit. Which assignment best demonstrates primary care nursing? a) Assuming the charge nurse role instead of participating in direct child care b) Caring for the same child from admission to discharge c) Taking vital signs for every child hospitalized on the unit d) Caring for different children each shift to gain nursing experience

B

A registered nurse (RN) is assigning care on the oncology unit and assigns the client with Kaposi's sarcoma and human immunodeficiency virus (HIV) infection to the unlicensed assistive personnel (UAP). This person does not want to care for this client. How should the nurse respond? a) "I will review blood and body fluid precautions with you." b) "I will assign this client to another nurse." c) "You seem worried about this assignment." d) "I will help you take care of this client so you are confident with his care."

C

Which represents a breach of the nursing Code of Ethics regarding the rights of clients in psychiatric care situations? a) The nurse discusses the client's care with the admission coordinator of a retirement home that the client plans to enter after discharge from the hospital. b) The nurse discusses the client's history and hospital course of treatment with a consulting health care provider (HCP). c) The nurse discusses with peers in the hospital cafeteria the progress of a well-known client being cared for at the hospital. d) The nurse discusses the client's care with out-of-town family members that the client has formally indicated are allowed to know about the client's hospital care.

C) The nurse discusses with peers in the hospital cafeteria the progress of a well-known client being cared for at the hospital.

At 8 a.m.(0800), a nurse assesses a client who's scheduled for surgery at 10 a.m.(1000). During the assessment, the nurse detects dyspnea, a nonproductive cough, and back pain. What should the nurse do next? a) Sign the preoperative checklist for this client. b) Check the client's serum electrolyte levels and complete blood count (CBC). c) Immediately notify the physician of these findings. d) Check to see that the client had a chest X-ray the previous day as ordered.

c) Immediately notify the physician of these findings.