pharm EAQ
Which client's care can the registered nurse (RN) safely delegate to unlicensed nursing personnel (UNP) based on the given data? Correct 1 Client A, with chronic hypertension and stable vitals 2 Client B, with drainage from diabetic foot 3 Client C, with myocardial infarction due to atherosclerosis 4 Client D, with foot ulcers from peripheral vascular disease
1 Client A, with chronic hypertension and stable vitals Care of client A can be safely delegated because the chronic hypertension with stable vitals is not generally associated with any complications. Client B with drainage from diabetic foot is at a risk of aggravating foot issues, so this client's care cannot be safely delegated. Client C with myocardial infarction due to atherosclerosis is at a risk of cardiovascular instability and care should not be delegated. Client D has a risk of foot ulcers due to peripheral heart disease so this client's care also cannot be safely delegated to the UNP.
The nurse is learning about the rules of leaders. Which actions of the nurse indicate effective implementation of these rules in the profession? Select all that apply. 1 Communicating in a simple language with followers 2 Giving a chance to the followers to express their views 3 Instructing followers to decide the actions to be performed 4 Avoiding communicating the clear boundaries with followers 5 Ensuring proper eye contact while communicating with followers
1 Communicating in a simple language with followers 2 Giving a chance to the followers to express their views 5. Ensuring proper eye contact while communicating with followers An effective leader should use the simplest and fastest method to communicate with followers. An effective leader should give a chance to the followers to express their views, as followers have many questions to ask. Proper eye contact ensures effective communication; therefore an effective leader should maintain proper eye contact while communicating with followers. An effective leader should use critical thinking to decide the actions to be performed but should not instruct the followers. An effective leader should communicate the clear boundaries with followers.
A critical care nurse scheduled to be off work for a long weekend is telephoned at 2 AM to come to work to assist with the care of multiple trauma victims. She has a 15-year-old son, a 10-year-old daughter, and a spouse who is not expected to return from work until 8 AM. What should the nurse do first?
1 Wake the son 2 Call the spouse 3 Shower and dress 4 Collect the go back When called to respond to work during a mass casualty event, some nurses may experience ethical and moral conflict between their family obligations and professional responsibilities. Each person has to make a choice about whether to be involved in helping during the emergency or when to become involved. The best action would be for the nurse to call the spouse to help with planning care for the children. Waking the son might be premature.
A student nurse lists the 10 rules of performance designed by the Institute of Medicine (IOM) that should be followed to provide appropriate care for clients. Which rules listed by the student nurse are accurate? Select all that apply. 1."Knowledge is shared and information flows freely." 2 "Client needs are anticipated through implementation." 3 "Care is individualized based on client needs and values." 4 "The client is the source of control participating in shared decision making." 5 "Decision making is evidence based, with care based only on practical knowledge."
Correct 1 "Knowledge is shared and information flows freely." 3 "Care is individualized based on client needs and values." 4 "The client is the source of control participating in shared decision making." According to the important rules of performance as designed by the IOM, when knowledge is shared, information flows freely. The rules also state that care should be individualized based on client needs and values. IOM recognizes the client as the source of control participating in shared decision-making. The needs of the client are anticipated when planning care. Decision-making is evidence based, with care based on the best available scientific knowledge.
Which points should be included when providing health teaching to the parents of a child about the safe use of diuretics? Select all that apply. 1. Diuretics should be taken on an empty stomach. 2 Fluid intake should be adequate. 3 Diuretics should be taken at the same time each day. 4 Diuretics may interfere with normal laboratory test values. 5 Sun or heat exposure should be avoided because of the risks of skin darkening.
Correct 2 Fluid intake should be adequate. Correct 3 Diuretics should be taken at the same time each day. Correct 4 Diuretics may interfere with normal laboratory test values. The parents should ensure that their child has adequate fluid intake to prevent dehydration. The medication should be taken every day at the same time to facilitate maximum therapeutic action. The parents should be informed that diuretics may interfere with normal laboratory test values such as serum levels of sodium, potassium, magnesium, and chloride. Diuretics should be taken with food or milk to prevent gastric irritation. Sun and heat exposure may cause fluid loss and heat stroke.
A practical nurse discusses with a group of nursing students about teaching to be given to a client being admitted to the health care facility. Which statements by the nursing students indicate a need for further teaching? Select all that apply. 1."Instructions are provided when the client is attentive." 2 "Teaching should begin early in the client's admission to a facility." 3 "Teaching should be provided to every client who stays for short time." 4 "A formal teaching plan should begin with the assessment and care plan." 5 "Instructions about the medications are provided on the day of discharge."
Correct 3 "Teaching should be provided to every client who stays for short time." Correct 4 "A formal teaching plan should begin with the assessment and care plan." Clients who have a short stay in a health care facility may not receive teaching until the day of discharge. A formal teaching plan should not begin until the assessment is complete and a care plan has been developed. The nurse should provide instruction when the client is attentive. The nurse should begin teaching early when the client is admitted to the facility. The nurse should instruct the client about medications on the day of discharge.
A visitor comes to the nursing station and tells the nurse that a client and a relative had a fight and that the client is now lying unconscious on the floor. What is the most important action the nurse needs to take? 1.Ask the client if he or she is okay. 2 Call security from the room. 3 Find out if there is anyone else in the room. 4 Ask security to make sure the room is safe.
Correct 4 Ask security to make sure the room is safe Safety is the first priority when responding to a presumably violent situation. The nurse needs to have security enter the room to ensure it is safe. Then it can be determined if the client is okay and ensured that any other people in the room are safe.
The nurse is providing information about blood pressure to Unlicensed Assistive Personnel (UAP). What factor has the greatest influence on diastolic pressure that the nurse will tell the UAP? 1 Renal function 2 Cardiac output 3 Oxygen saturation 4 Peripheral vascular resistance
Peripheral vascular resistance Peripheral vascular resistance is the impedance of blood flow, or back pressure, by the arterioles, which is the most influential component of diastolic blood pressure. Renal function through the renin-angiotensin-aldosterone system regulates fluid balance and does influence blood pressure. Cardiac output is the determinant of systolic blood pressure. Oxygen saturation does not have a direct effect on diastolic blood pressure
