Collaboration / Teamwork PrepU
A client who had an open hysterectomy 2 days ago is ambulating around the unit four times daily. The health care provider has not yet written a prescription to discontinue the client's urinary catheter. What is the appropriate nursing action?
Request a prescription for catheter discontinuation from the health care provider
The nurse is providing care for a client who has a tracheostomy and whose pulse oximeter has recently alarmed, showing the client's oxygen saturation to be 77%. The nurse has repositioned the client and applied supplementary oxygen, interventions that have raised the client's oxygen levels to 80% and have somewhat decreased his work of breathing. The client is not in immediate distress, and his level of consciousness remains high. The nurse should page which practitioner?
Respiratory therapist
Parents tell the nurse who is admitting their infant for a well-child exam that they recently saw a "white glow" in their child's left pupil. What is the nurse's best response?
"I will report this to the pediatrician"
A client is scheduled for a prostatectomy, and the anesthetist plans to use a spinal (subarachnoid) block during surgery. In the operating room, the nurse prepares the client according to the anesthetist's instructions. Which statement by the anesthetist would the nurse question?
"Position the client supine on the operating table, and prepare the site for injection."
A child presents to the emergency department via ambulance in critical condition following a traumatic motor vehicle crash. What would the first action of the nurse be?
Assess the child's airway and manage airway patency.
The OR personnel responsible for maintaining the safety of the client and the surgical environment is the:
Circulating nurse
An 18-year-old pregnant client is hospitalized as she recovers from hyperemesis gravidarum. The client reveals she wanted to have an abortion (elective termination of pregnancy) but her cultural background forbids it. She is very unhappy about being pregnant and even expresses a wish for a spontaneous abortion (miscarriage). Which action by the nurse is most appropriate?
Contact the health care provider to report the client's feelings.
A nursing student is preparing for a class presentation addressing the collaborative practice model. Which of the following would the student expect to include?
Participation in decision making that is shared by all involved
The nurse is preparing a client with suspected leukemia for a bone marrow and biopsy. What preferred site will the nurse be sure is accessible for the physician?
Posterior iliac crest
The nurse is preparing to defibrillate a client with no breathing or pulse. Which nursing action precedes the nurse's pressing the discharge button?
Shouting "Clear!"
A client with metastatic pancreatic cancer underwent surgery to remove a malignant tumor in the pancreas. Despite the tumor being removed, the physician informs the client that chemotherapy must be started. Why might the physician opt for chemotherapy?
To prevent metastasis
The nurse is preparing to provide details on a client to the healthcare team coming on duty for the next shift. Which form of communication should the nurse use to best enhance a safe transfer of care?
bedside report
The nurse is working with a child-life specialist to assist a young preadolescent who is preparing for treatment for cancer. Which technique will the nurse and specialist prioritize to assist this child in better understanding what will be happening in the treatment of the cancer?
therapeutic play