PN Management B

nurse is assisting with the admission of a client who reports that she signed advance directives during a previous admin. which of the following actions should the nurse take> SATA

- document in the client's medical record that she has advance directives - ensure that copies of the client's advance directives located in her chart - inform the oncoming nurse of the client's advance directives during change-of-shift report

nurse is reinforcing teaching about home safety with an older adult client. which of the following client statements indicates an understanding of the teaching?

I should participate in supervised exercise program

nurse is assisting with a presentation about preparing a home disaster supply kit at the community health fair. Which of the following statements by participant should the nurse identify as understanding of the information?

I will purchase canned food for the kit

a nurse is reinforcing discharge teaching with a client who has a new rx for home oxygen therapy. which of the following client statements indicates understanding of the teaching?

I will schedule monthly maintenance appts for my equipment

nurse is verifying informed consent with a client who is scheduled to have a total open abdominal hysterectomy with bilateral salpingo-oophorectomy for the tx of uterine cancer. The nurse should notify the provider for which of the client statements?

I wish I knew if there was another way to treat this other than surgery

a charge nurse in SNF identifies an increase rate if client falls. Which of the following statements to the nursing staff indicated the charge nurse is addressing the problem with an autocratic leadership style?

I've made it mandatory for all nursing staff to attend an educational session on reducing falls.

nurse is reinforcing teaching with a newly licensed nurse about ethical principles to consider during client care. Which of the following actions should the nurse include as an example of client advocacy.

Relaying a client's concerns about an upcoming procedure to the provider

nurse is caring for a client who is recovering following a total hip arthroplasty. the nurse receives a telephone call from the client's sister requesting info about the client's status. Which of the following actions should the nurse take?

Transfer the call to the client

a nurse is assisting with triage following a mass casualty event. The nurse should recommend that which of the following clients be attended to first?

a client who has a crush injury to the pelvis whose pedal pulse in the right foot is absent

nurse is participating in a disaster drill and is assigned to assist with clients in the yellow tag staging area. the nurse should expect to assist in treating which of the following clients?

a client who has burns to the trunk and legs

nurse is assisting with the selection of clients to discharge to make beds available following tornado in the community. Which of the following clients should the nurse recommend for discharge?

a client who is recovering from a laparoscopic appendectomy that was performed 24 hr ago

nurse on a pediatric unit is assisting with the care of the four clients. Which of the following clients should the nurse plan to see first?

a preschooler who has respiratory syncytial virus and is wheezing

nurse is assisting with the development of a presentation for newly licensed nurses regarding client confidentiality. which of the following actions should the nurse include as an example of a breach of client confidentiality?

accessing client medical records from other units to compare outcomes with currently assigned clients

nurse is assisting in planning care for a client who has heart failure. Which of the following interventions should the nurse include? SATA

admin furosemide, apply o2 to keep spo2 >95%, obtain daily weights

nurse is planning to delegate care for a group of clients following change of shift report, which of the following taks should the nurse plan to assign to an assistive personnel? - set up sterile field - obtain wound culture -reinforce teaching on how to TCDB - apply B sequential compression devices

apply B sequential compression devices

a nurse is completing documentation on the computer a the nurse's station when an assistive personnel (AP) requests to use the computer to enter the morning vital signs. Which of the following actions should the nurse take?

ask the AP to find another computer

nurse at a rehab facility is supervising a newly hired assistive personnel (AP) during the transfer of a client from the bed to a chair. Which of the following actions by the AP demonstrates safe transfer technique?

bends at the knees

nurse is serving on a performance improvement committee which is reviewing client falls. the data shows that most falls occur b/w 2000 and 2200. Which of the following recommendations should the committee make?

check on clients hourly

nurse is assisting with the discharge of a client who was a in motor-vehicle crash 24 hr ago. the client tells the nurse, "my vision seems blurry and I am having difficulty speaking clearly." Which of the following actions should the nurse make first?

check the client for indications of increased intracranial pressure

nurse is preparing to reinforce discharge teaching with a client who speaks a different language than the nurse. the client has a n new diagnosis of a diabetes and his partner is at the bedside. which of the following actions should the nurse take?

contact and interpreting service via telephone to assist with the instructions.

a charge nurse is discussing legal issues with a newly licensed nurse. which of the following actions should the charge nurse identify as negligence?

failing to provide one-to-one observation for a client who is suicidal

nurse is assisting an RN with developing a meal plan for a client who has neutropenia. which of the following foods should the nurse recommend to include?

fried fish

nurse in a long-term care facility is caring for a client who is refusing prescribed medications. Which of the the following actions should the nurse take first?

identify the client's concerns about taking the medications

newly licensed nurse is caring for a client who requires straight cath. the nurse informs the charge nurse that he has only observed the procedure on two occasions. which of the following responses should the charge nurse make?

let's discuss the procedure and i'll assist you with your first time

nurse in a provider's office is reinforcing teaching with an adult client who has a new rx for ear drops for an inner ear infection. which of the following instructions should the nurse include?

lie on your side when preparing to instill the ear drops

nurse is observing an AP provide care for a group of clients. the nurse should intervene when the AP dons gloves prior to performing which of the following tasks?

making a surgical bed for a client returning from surgery

nurse realizes she has admin the wrong medication to a client which of the following actions should the nurse take first?

monitor VS

a charge nurse is planning a discussion concerning scope of practice with newly licensed nurses, Which of the following tasks should the charge nurse identify as within the PN's scope of practice? SATA

participate in health promotion counseling for a client is correct, evaluate a client's response to nursing interventions is correct, assist in the development of unit policies affecting client care is correct

a nurse is provide care for a group of clients who have signed a general consent for treatment. the nurse should identify that which of the following procedures requires an additional written informed consent?

performing an amniocentesis

a nurse is long-term care facility is preparing to demonstrate admin of cleansing enema to a group of newly licensed nurses. which of the following actions should the nurse plan to take during the demonstration?

place the client in a left side-lying position

nurse is participating in discharge planning for a client who has a new tracheostomy, which of the following equipment should the nurse ensure is available for providing care for the client at home?

portable suction

nurse is assisting with the development of an in-service about the process of evidence-based practice. Which of the following actions should the nurse include as the first step of the process?

question a current clinical practice that does not seem effective

charge nurse notices a nurse on a unit arriving to work 30 min late. The nurse appears unkept and has slurred speech. Which of the following actions should the nurse take first?

reassign the nurse's clients to another nurse

a nurse is supervising an AP fax a client's morning laboratory results to a provider's office. which of the following actions AP requires intervention by the nurse?

sends laboratory results form the past week

nurse is discussing time management with a newly licensed nurse. which of the following actions should the nurse recommend to organize daily assigned tasks?

setting goals

nurse is assisting with the care of an older adult client who is recovering from a stroke and is experiencing difficulty swallowing and performing ADLs. The client will be living with his adult son following discharge. the nurse should recognize that which of the following client referrals has the highest priority?

speech therapy

nurse is collecting date from a client following abdominal surgery. the nurse should recognize which of the following client findings is the priority to report to the provider?

surgical dressing saturated with bloody drainage

nurse is collecting date from a client and notices smoke coming from electrical outlet. which of the following actions should the nurse take first?

take the client out of the room

a nurses assisting with disaster triage is examining a client who has a large open wound to the lower extremity. which of the following actions should the nurse take?

tell the client she should received tx within 2hr

a nurse at a rehabilitation facility is participating in an interprofessional care conference of a client who is 1 week post-op following an above the knee amputation. which of the following findings is the priority for the nurse to report at the conference?

the client's incision site has purulent drainage

nurse is contributing to the plan of care for a group of clients. which of the following scenarios demonstrates effective use of time management techniques?

the nurse groups activities for surgical client based on the client's pain medication schedule

a nurse is assisting with the care of a client who suddenly becomes unconscious and requires emergency surgery. the client does not have advance directives and the only family member available is the client's 14-year-old daughter. Which of the following actions should the nurse plan to take?

transport the client to the operating room with implied consent

nurse is assisting with the development of a slide presentation for staff education about preventing medication errors. which of the following actions should the nurse take when developing the slides?

use sentences that have a maximum of six words

nurse is participating in a peer evaluation system based on the overall performance of its nursing staff. Which of the following strategies ensures peer evaluation process is impartial and fair?

uses the same objective measurement tool for all nurses

a nurse is discussing the meaning of utilitarianism with a newly licensed nurse. which of the following statements by the newly licensed nurse indicates the understanding of this ethical theory

utilitarianism provides the greatest good for the greatest number of people

nurse is observing a newly licensed nurse admin ophthalmic medication to a client. which of the following actions should the newly licensed nurse take first?

verify the medication with the client's MAR

newly hired nurse recognizes that the unit staff and nurse manager seem to be in constant conflict. the nurse should identify that the nurse manager is using which of the following conflict management approaches when she decides that her plans are the best and the unit staff is no longer trying to resolve conflict?

win-yield

a nurse is delegating collection of a random stool specimen to an AP, Which of the following info should the nurse provide?

wrap tongue blades used to retrieve specimen in a paper towel prior to disposal

nurse is contributing to the plan of care for a client who states he is devout Hindu. To adhere to the client's religious dietary practices, which of the following food options should the nurse offer the client?

yogurt

nurse in a long-term care facility is caring for an older adult client who has heart failure and is refusing to take a new medication. which of the following responses should the nurse make?

you have the right to refuse medication