Management of Care
A client with sickle cell crisis reports severe generalized pain. What are the two priority nursing interventions in order? Administering high-flow intravenous fluids Maintaining strict bed rest Applying oxygen via nasal cannula Transfusing packed red blood cells
Administering high-flow IV fluids Applying O2 via nasal cannual
The nurse managers at a healthcare facility identify that clients remain in the post-anesthesia care unit (PACU) after discharge criteria are met. The manager asks the Performance Improvement Council to address the issue. What questions should the council ask at the onset of the quality improvement project? Select all that apply. "Does it help if we incentivize PACU nurses for higher turnover rates?" "How long are clients remaining in PACU after meeting discharge criteria?" "What is
"How long are clients remaining in PACU after meeting discharge criteria?" "What is the impact of the delays on the operating room schedules?" "Are delays more common before discharge home or admission to the floor?"
A nurse in the cardiac intensive care unit receives reports on four clients. Which client should the nurse assess first? Client who had coronary bypass graft surgery 3 days ago and has swelling in the leg used for the donor graft Client receiving intravenous antibiotics for infective endocarditis with a temperature of 101.5 °F (38.6 °C) Client 3 hours post coronary artery stent placement via femoral approach and reporting severe back pain Client 2 months post heart transplant with sustaine
Client 3 hours post coronary artery stent placement via femoral approach and reporting severe back pain
A pediatric emergency department nurse receives reports on four clients. Which client should be seen first? A child with increased pain at skeletal pin insertion sites on the leg A child with a recently placed tympanostomy tube that has fallen out A child who is unable to eat or drink without vomiting A child with bruising behind the ears after a football injury
A child with bruising behind the ears after a football injury
The nurse in an ambulatory surgery center triages telephone messages from clients. Which client should the nurse call back first? Client who had a colonoscopy with polypectomy who reports abdominal cramping and a small amount of rectal bleeding Client who underwent placement of an arteriovenous graft who reports a temperature of 100.9 °F (38.3 °C) Client who had a lumbar laminectomy with spinal fusion 3 days ago who reports straining to have a bowel movement Client who underwent laparoscopic i
Client who underwent placement of an arteriovenous graft who reports a temperature of 100.9 °F (38.3 °C)
Identify the correct and incorrect nursing actions that should be taken. Select one option in each row. Report the violation to the supervisor. Explain the importance of privacy to the UAP. Complete a focused psychosocial assessment on Strykner. Remove the UAP from the client assignment. Recognize this as an EMTALA violation.
Correct Correct Incorrect Incorrect Correct
While the nurse and unlicensed assistive personnel are turning an intubated and heavily sedated client during a bath, the client coughs and expels the endotracheal tube. What is the priority nursing action? Immediately alert the healthcare provider and prepare for reintubation Initiate a code blue to prepare for potential cardiac arrest due to hypoxemia Deliver rescue breathing with a bag-valve-mask attached to 100% oxygen Assess respiratory rate and breath sounds to ensure ventilation is oc
Deliver rescue breathing with a bag-valve-mask attached to 100% oxygen
Match each clinical example to the aligning quality concept. A nurse only takes necessary supplies from the supply cabinet to initiate the intravenous line. A healthcare provider checks all prescribed medications for interactions with a newly prescribed medication. A client's treatment plan includes telehealth psychiatric visits because the client does not have easy access to transportation. Two clients receive the same treatment options for the same illness. A healthcare prov
Efficient Safe Client-Centered Equitable Effective Timely
Identify if the statements are intrapersonal, interpersonal, or intergroup conflicts. A nurse feels overwhelmed with client care activities and prioritizes work tasks over meals and bathroom breaks. A client's family does not agree with the client's Do Not Resuscitate order. The nursing staff and hospital administration disagree with merit raises. The nurse disagrees with the nursing supervisor on safe staffing ratios. A nurse calls out sick to work because their child is sick while fee
InTRApersonal InTERpersonal InterGROUP InTERpersonal InTRApersonal
Identify additional information that should be included in the hand-off report from the emergency department (ED) nurse to the surgical nurse. Click to select and drag the correct response to the box provided. Last oral intake Blood type Current blood pressure Level of consciousness Spiritual beliefs Pain assessment Intravenous (IV) sites
Last oral intake Current blood pressure Level of consciousness, Pain assessment
Identify the resources to be allocated for each client. Select one or more options in each row. IV start kit Oxygen Respiratory therapy Telemetry monitor Dressing supplies Electrocardiogram
Leukin IV Start Kit Oxygen Respiratory therapy Telemetry monitor Strykner IV Start Kit, Respiratory therapy Telemetry Monitor Electrocardiogram Incoming Ambulance Client All apply
Identify the correct order in which the nurse should see the assigned clients. Click to select and arrange each client in order of nursing priority. Juniper Speltzner Strykner Leukin
Leukin Juniper Strykner Speltzner
A new graduate nurse is assigned a preceptor for orientation as a new nurse. The new graduate is nervous for the first day and is concerned about looking unprepared. The new graduate arrives on the unit before reporting and overhears the assigned preceptor complaining about having to train this nurse. Another nurse at the nurse's station overhears and agrees that too many new people are coming to the unit, and all the "difficult" clients are assigned to experienced nurses. The preceptor vo
Not Indicated Not Indicated Not Indicated Indicated Not Indicated Not Indicated Indicated
A client presents to the emergency department with upper gastrointestinal bleeding and abdominal pain. The client is sweating and appears to be in moderate distress. Which nursing action is the priority? Obtain vital signs Insert a nasogastric tube to suction Assess bowel sounds and abdominal tenderness Notify the healthcare provider
Obtain vital signs
What actions should the nurse take? Select all that apply. Request charge nurse to clarify prescriptions on Speltzner and discharge. Delegate sputum collection for Strykner to the licensed practical/vocational nurse. Complete surgical consent for Packer. Explain to Packer the surgeons will not let him die. Delegate transfer of Packer to the unlicensed assistive personnel. Explain to Strykner the nurse cannot discuss other clients. Delegate medication administration for Speltzner to the licensed
Request charge nurse to clarify prescriptions on Speltzner and discharge. Delegate sputum collection for Strykner to the licensed practical/vocational nurse. Explain to Strykner the nurse cannot discuss other clients.
A nurse is preparing to administer a unit of packed red blood cells to a female client with hemoglobin of 6.9 g/dL (reference range: 12- 16 g/dL). The unit secretary retrieved the blood 25 minutes ago. When entering the client's room, the nurse notes that the client's peripheral intravenous (IV) device is not patent and is unsuccessful at inserting the new IV. What should the nurse do next? Return the blood to the blood bank. Have another nurse attempt to restart the IV. Notify the healthca
Return the blood to the blood bank
The nurse recognizes that a priority concern for Packer is ______ and that the client should have _____. The nurse will ask the healthcare provider to consider ____.
Shock A type and crossmatch Blood products
A pediatric primary care office initiated a quality improvement process to increase the vaccination rate of children. Place the quality control steps in the order they should be performed, from first to last.
The general quality control process includes: 1. Establishing a criterion or standard (identifying the American Academy of Pediatrics recommendations) 2. Collecting information (collecting electronic medical record documentation) 3. Evaluating data to determine if the standard is met (evaluating data collected) 4. Providing educational or corrective action if the criterion is not met (providing staff education)
Click to select each description for the component of the scope of practice. A registered nurse must be formally educated and maintain an active license to practice nursing. Nursing is the protection, promotion, and optimization of health and abilities; prevention of illness and injury; facilitation of healing; alleviation of suffering through the diagnosis and treatment of human response; and advocacy in the care of individuals, families, groups, communities, and populations. Nurses provide
Who What When How Where Why
A nurse is caring for a client with pulmonary edema whose respiratory status is declining. Arrange the nursing interventions in order of priority. Administer furosemide 40 mg intravenously STAT Prepare suctioning equipment at the bedside Insert an indwelling urinary catheter Call the healthcare provider Administer oxygen via nasal cannula at 2 L/minute Position the client upright at a 45-degree angle
Position the client upright at a 45-degree angle Prepare suctioning equipment at the bedside Call the healthcare provider Administer oxygen via nasal cannula at 2 L/minute Administer furosemide 40 mg intravenously STAT Insert an indwelling urinary catheter
