Chapter 7 Prioritizing Client Care; Leadership, Delegation, and Emergency Response Planning

The charge nurse is planning the assignment for the day. Which factors should the nurse remain mindful of when planning the assignment? SATA. 1. The acuity level of the clients 2. Specific requests from the staff 3. The clustering of the rooms on the unit 4. The number of anticipated client discharges 5. Client needs and workers' needs and abilities.

Answer: 1, 5

The nurse manager is discussing the facility protocol in the event of a tornado with the staff. Which instructions should the nurse manager include in the discussion? SATA 1. Open doors to client rooms 2. Move beds away from windows 3. Close window shades and curtains 4. Place blankets over clients who are confined to bed 5. Relocate ambulatory clients from the hallways back into their rooms

Answer: 2,3,4

The RN is planning the client assignments for the day. Which is the most appropriate assignment for an AP? 1. A client requiring a colostomy irrigation 2. A client receiving continuous tube feedings 3. A client who requires urine specimen collections 4. A client with difficulty swallowing food and fluids

Answer: 3

A nursing graduate is attending and agency orientation regarding the nursing model of practice implemented in the health care facility. The nurse is told that the nursing model is a team nursing approach. The nurse determines that which scenario is characteristic of the team-based model of nursing practice? 1. Each staff member is assigned a specific task or a group of clients. 2. A staff member is assigned to determine the client's needs at home and begin discharge practice. 3. A single RN is responsible for providing care to a group of 6 clients with the aid of an AP. 4. An RN leads 2 LPNs and 3 APs in providing care to a group of 12 clients.

Answer: 4

The nurse employed in a LTC facility is planning assignments for the client on a nursing unit. The nurse needs to assign four clients and has an LPN and 3 APs on a nursing team. Which client would the nurse most appropriately assign to the LPN? 1. A client who requires a bed bath. 2. An older client requiring frequent ambulation 3. A client who requires hourly VS measurements 4. A client requiring abdominal would irrigations and dressing changes every 3 hours.

Answer: 4

The nurse employed in an ED is assigned to triage clients coming to the ED for treatment on the evening shift. The nurse should assign priority to which client? 1. A client complaining of muscle aches, a headache and history of seizures. 2. A client who twisted her ankle when rollerblading and is requesting medication for pain. 3. A client with a minor laceration on the index finger sustained while cutting an eggplant. 4. A client with chest pain who states that he just ate pizza that was made with a very spicy sauce.

Answer: 4

The nurse has received the assignment for the day shift. After making initial rounds and checking all of the assigned clients, which client should the nurse plan to care for first? 1. A client who is ambulatory demonstrating steady gait. 2. A postoperative client who has just received an opioid pain med 3. A client scheduled for PT for the first crutch walking session 4. A client with a WBC count of 14,000 mm3 (14x10^9/L (and a temperature of 38.4 C.

Answer: 4

The nurse is a giving a bed bath to an assigned client when an AP enters the client's room and tells the nurse that another assigned client is in pain and needs pain med. Which is the most appropriate nursing action? 1. Finish the bed bath and then administer the pain med to the other client. 2. Ask the AP to find out when the last pain med was given to the client. 3. Ask the AP to tell the client in pain that med will be administered as soon as the bed bath is complete. 3. Cover the client, raise the side rails, tell the client that you will return shortly, and administer the pain med to the other client.

Answer: 4

The nurse is assigned to care for four clients. In planning client rounds, which client should the nurse assess first? 1. A postoperative client preparing for discharge with a new medication. 2. A client requiring daily dressing changes of a recent surgical incision. 3. A client scheduled for a chest x-ray after insertion of a nasogastric tube. 4. A client with asthma who requested a breathing treatment during the previous shift.

Answer: 4

The nurse manager has implemented a change in the method of the nursing delivery system from functional to team nursing. An AP is resistant to the change and is not taking an active part in facilitating the process of change. Which is the best approach in dealing with the AP? 1. Ignore the resistance 2. Exert coercion on the AP 3. Provide a positive reward system for the AP 4. Confront the AP to encourage verbalization of feelings regarding the change

Answer: 4