SIM - Missed Questions
A nurse is caring for a client with a fresh postoperative wound following a femoral-popliteal revascularization procedure. The nurse fails to routinely assess the pedal pulses on the affected leg, and missed the warning sign that the blood vessel was becoming occluded. The nurse manager is made aware of the complication and the nurse's failure to assess the client properly. What action should be taken by the nurse manager?
Address the nurse's omissions as negligent behavior.
A client is diagnosed with pyelonephritis. Which nursing action is a PRIORITY for care now?
Ensure sufficient hydration
A client asks the nurse when the difference is between osteoarthritis (OA) and rheumatoid arthritis (RA). Which response is correct?
OA is a noninflammatory joint disease. RA is characterized by inflamed, swollen joints.
The mother of a 2-year old if concerned because the child's right eye seems to turn in toward his nose when he is tired. The nurse should:
Test the child with the cover-uncover test and refer the mother and child to an ophthalmologist if the test is abnormal.
A community nurse arrives at the home of a client. The client is in soiled clothes due to the inability to make it to the bathroom in time. The nurse overhears the unregulated care provider (UCP) scolding the client for the soiled clothes. What is the MOST appropriate response by the nurse to the UCP?
Your behavior in this situation is considered verbal abuse
The nurse has been assigned to care for several postpartum clients and their neonates on a birthing unit. Which client should the nurse assess first?
a primiparous client at 2 hours postpartum who gave birth to a term neonate vaginally
A novice nurse is caring for a client who requires a cesarean section for labor dystocia. The cleint's partner signs the consent form for cesarean section. Which of the following individuals is responsible for obtaining consent prior to a cesarean section?
physician
When teaching a client when to take glipizide in order to maximize the effectiveness of the drug, the nurse should instruct the client to:
take glipizide 30 minutes before breakfast