Management Assignment Quiz
Which benefits can be offered to a novice nurse by a professional mentor? Select all that apply A. Advice B. Support C. Feedback D. Confidence E. Self-awareness
A. Advice B. Support C. Feedback A professional mentor can offer support, advice, and feedback to a novice nurse. A mentor cannot give confidence or self-awareness to a mentee; however, the novice will hopefully take full advantage of the mentor's feedback and advice and eventually develop these attributes
Which occupational hazard could quickly become a national problem for nurses working in acute care settings? A. Alarm fatigue. B. Lifting clients. C. Client falls. D. Needle sticks.
A. Alarm fatigue Alarm fatigue is an occupational hazard in acute care settings that is quickly becoming a national problem, particularly in highly technical environments. Exposure to multiple alarms from infusion pumps, feeding devices, monitors, and ventilators can cause sensory strain. Staff members who are overwhelmed by the number of alarms can miss or delay responding to their cues, which may lead to sentinel events and undesired outcomes for clients
The nurse is collaborating with the rehabilitation team related to the plan of care for a client who recently had hip replacement surgery. Which action should the nurse include in the nursing plan of care? A. Allow time for the client to practice gross motor skills. B. Coordinate the discharge from the rehabilitation facility. C. Review the client's diet to ensure nutritional needs are met. D. Ensure that the client is receiving the best drug therapy.
A. Allow time for the client to practice gross motor skills Encouraging the client to practice gross motor skills provides the client with a therapeutic rehabilitative milieu. The nurse's role on a rehabilitation team focuses on advocating and meeting the client's nursing needs while collaborating with other members of the healthcare team to promote continuity of care
The nurse notes a client's postoperative leg is cool with a capillary refill greater than 4 seconds and calls the healthcare provider. After 30 minutes of not receiving a return call from the healthcare provider, which action should the nurse take first? A. Attempt to recall the same healthcare provider. B. Notify the hospital's "on call" nursing supervisor. C. Continue to monitor and call if there is a change. D. Describe the problem to the answering service.
A. Attempt to recall the same healthcare provider The healthcare provider may have inadvertently not received the first call, so attempting to call the healthcare provider again is the best action to take first. According to the TeamSTEPPS, two attempts should be made to notify the provider before proceeding with any other option.
Which nursing action most directly improves client safety when using an electronic health record? A. Avoiding the use of symbols, abbreviations, and terms on the "Do Not Use" list. B. Reducing the number of client records printed on paper on the unit. C. Logging off the computer when finished and closing the browser. D. Creating data set clusters to use when entering client prescriptions.
A. Avoiding the use of symbols, abbreviations, and terms on the "Do Not Use" list. The use of terms, symbols, and abbreviations on the "Do Not Use" list has been shown to increase error frequency in the clinical setting, which directly threatens client safety. For example, the abbreviation MSO4 can be interpreted as magnesium sulfate or morphine sulfate. Reducing printed records and logging off the computer when finished are indirect ways of improving client safety. Creating data set clusters for use when entering client prescriptions improves client care processes and time management, which also indirectly improves client safety.
Which work environment characteristics indicate engagement and civility to a novice nurse when seeking employment? Select all that apply A. Bulletin boards are full of recent practice challenges and accomplishments. B. Unit colleagues calmly disagree in a lengthy discussion over pros and cons. C. The conference room is full during an optional unit meeting presentation. D. Staff members share food and conversation during unit meal breaks. E. There are many nursing staff positions open in an established unit.
A. Bulletin boards are full of recent practice challenges and accomplishments. B. Unit colleagues calmly disagree in a lengthy discussion over pros and cons. C. The conference room is full during an optional unit meeting presentation. D. Staff members share food and conversation during unit meal breaks. A work environment characteristic the novice nurse should seek to include is evidence of civility in relationships among the unit staff. Civility is authentic respect for others requiring time, presence, engagement, and intention to seek common ground. Bulletin boards full of recent clinical practice challenges and accomplishments, and a full conference room during an optional unit presentation both show engagement. A calm and lengthy disagreement over pros and cons shows an intention to seek common ground. Sharing food and conversation during meal breaks shows presence and engagement. Having many nursing staff positions open on an established unit indicates that turnover has occurred for some reason, and it is possible that incivility may be an issue in that unit.
Which factor of healthcare is the primary reason for the need to improve interdisciplinary communication? A. Client safety. B. Nursing shortage. C. Physician shortage. D. Budget limits.
A. Client safety Client safety is the factor of healthcare that is the primary reason for the need to improve interdisciplinary communication, according to the landmark Institute of Medicine report, Crossing the Quality Chasm (IOM)
Which basic elements should the nurse should use in providing an effective delivery care model? Select all that apply A. Clinical decision making. B. Interdisciplinary communication. C. Work allocation. D. Nurse-client relationship. E. Generation of nursing research.
A. Clinical decision making. B. Interdisciplinary communication C. Work allocation. D. Nurse-client relationship. The basic elements of any care delivery system are the nurse-client relationship, clinical decision-making, work allocation, client assignment-making, interdisciplinary communication, and management of the care environment. Although evidence-based research is used to inform care delivery systems, the generation of nursing research is not a basic element of a care delivery model.
The nurse is delegating personal hygiene assistance for a client to an unlicensed assistive personnel (UAP). Which is the most important factor the nurse should consider? A. Competence of the UAP. B. UAP position description. C. Time to complete the task. D. Organizational policy.
A. Competence of the UAP The UAP must be determined competent in performing a task even when protocols and policies indicate the individual can perform that task on behalf of the nurse. Basic skills such as activities of daily living (ADLs) and personal hygiene are included in the tasks that can be delegated to a UAP
Which strategy has shown to be the most effective way for nurse leaders to manage conflict? A. Compromising in support of the balance of power. B. Collaborating to meet everyone's needs more fully. C. Competing to keep professional power and respect. D. Avoiding so that individuals can forget the conflict.
A. Compromising in support of the balance of power Nurse researchers have found that the willingness to compromise in support of the balance of power is the most effective way for nurse leaders to manage conflict
The nurse is caring for an emancipated adolescent in the clinic who requires treatment for substance abuse. The nurse should be aware of which action as a legal obligation? A. Consent from the adolescent must be obtained. B. Verbal consent for treatment can be given. C. The legal guardian must be contacted for consent. D. The insurance company must be notified to see if treatment is covered.
A. Consent from the adolescent must be obtained Emancipated minors seeking treatment for substance abuse can give consent for treatment. The nurse should be aware of the state statutes regarding adolescent consent for certain situations. Authorization from the adolescent's insurance provider may have to be verified. The preauthorization for substance abuse treatment is not considered a legal obligation, but a billing coverage issue
During the report, the charge nurse informs a nurse that she must work on another unit. The nurse begins to sigh deeply and tosses about her belongings as she is preparing to leave, making it known that she is very unhappy about having to "float." Which is the best immediate action for the charge nurse to take? A. Continue with the report, and talk to the nurse about the incident at a later time. B. Ask the nurse to call the supervisor to see if she can be reassigned. C. Stop reporting and remind the nurse that all staff must "float" at some time. D. In the presence of other staff members, inform the nurse that her behavior is inappropriate.
A. Continue with the report, and talk to the nurse about the incident at a later time During the report, the charge nurse informs a nurse that she must work on another unit. The nurse sighs and tosses her belongings around as she leaves. The best response for the charge nurse is to continue reporting and address the inappropriate behavior with the nurse at a later time, in private
Which method is recommended for nurses to advance their professional careers in a healthcare organization? A. Continuing to advance education. B. Maintaining competency in practice. C. Networking with administration. D. Updating employment resume.
A. Continuing to advance education. Nurses with higher levels of education improve client healthcare delivery, according to a report published by the Institute of Medicine (IOM). The IOM report states that by 2020, continuing education will best help to prepare the nurse for professional advancement and predicts 80% of registered nurses will be bachelor prepared.
Which step should the nurse take before starting an evidence-based research project? A. Cultivate a spirit of inquiry. B. Ask the burning question. C. Gather published evidence. D. Disseminate the outcomes.
A. Cultivate a spirit of inquiry The nurse should cultivate a spirit of inquiry before starting an evidence-based research project. Creating a spirit of inquiry, sometimes referred to as scholarly inquiry, fosters an environment that encourages staff involvement and the value of research and implementation of these practices into utilization
Which action is best for the charge nurse to take when preparing to give client care assignments to nursing staff? A. Establish client acuity based on documentation. B. Divide the unit evenly into contiguous segments. C. Review how care was given on the previous day. D. Allow the staff to choose assignments among themselves.
A. Establish client acuity based on documentation. The best action the charge nurse should take when assigning client care to the nursing staff is to establish client acuity based on nursing documentation during the previous shift. Having real-time data that establishes the level of care required (acuity level) assists the charge nurse with determining assignments among the staff.
Which statement best describes the difference between novice and expert nurses? A. Expert nurses evaluate and synthesize information for decision making. B. Novice nurses demonstrate self-reflection in knowledge about practice situations. C. Expert nurses focus on informatics skills and the application of concrete concepts. D. Novice nurses integrate theoretical knowledge with practical knowledge.
A. Expert nurses evaluate and synthesize information for decision making. Novice nurses focus on learning data collection, computer and informatics skills, and application of concrete concepts. As nurses grow in expertise, they look for data patterns and aggregate data across client populations to look for similarities and differences in response to interventions. Expert nurses integrate theoretical knowledge with practical knowledge gained from experience. They also know the value of personal and professional reflection on knowledge and how to synthesize and evaluate the information for discovery and decision-making.
When planning care for a client with polycystic kidney disease, which collaborative problem has the highest priority? A. Hypertension. B. Calculi formation. C. Acute renal failure. D. Infection.
A. Hypertension Blood pressure control has the highest priority, which is necessary to reduce cardiovascular complications and slow the progression of renal dysfunction
The nurse who is orienting a newly licensed nurse to the unit notices the new nurse has a need to improve time management. Which should the nurse consider may be impacting the new nurse? A. Increased stress. B. Inability to prioritize. C. Poor critical thinking. D. Lack of motivation.
A. Increased stress The orienting nurse should consider that orientating to a new role and position can be stressful for the newly licensed nurse. A close relationship exists between stress and time management. Stress can weaken the ability to focus, which impacts the use of time, resulting in decreased productivity
Which is the most important benefit of joining a professional nursing specialty organization? A. Learning new information. B. Obtaining certification. C. New career opportunities. D. Opportunities to volunteer.
A. Learning new information The major benefit of professional specialty organizations is sharing and disseminating information. Other benefits of joining include obtaining education about the newest research and practice, as well as the ability to collaborate with peers to discuss clinical concerns
The nurse is requesting several days off from work during a period of anticipated high acuity client census. Which approach should the nurse use when speaking with the nurse manager? A. Negotiation. B. Collegiality. C. Networking. D. Collaboration.
A. Negotiation Negotiating is a powerful skill that can be useful in obtaining an objective. Major principles of successful negotiations include focusing on the issue, listening, offering a solution, demonstrating a willingness to appeal to mutual interests, and being objective when evaluating different options.
A client with type II diabetes mellitus expresses a desire to lose weight to the nurse. Which initial referral should the nurse obtain? A. Registered dietitian. B. Healthcare provider. C. Physical therapist. D. Recreational therapist.
A. Registered dietitian A registered dietitian can assist a client with type II diabetes in choosing the appropriate type and amount of food for weight loss. Registered dietitians can ensure that the client's nutritional needs are met to safely reduce the client's weight
The nurse witnesses a male client's signature for surgical consent for a Billroth II procedure after the surgeon discusses the procedure and its implication with the client. After signing the consent, the client questions the importance of a change in his diet postoperatively. Which action should the nurse implement? A. Review information about dumping syndrome. B. Have the client sign another consent. C. Notify the surgeon about the client's comment. D. Explain the surgical procedure.
A. Review information about dumping syndrome Further review of information about potential dumping syndrome which is managed postoperatively with dietary modification after a Billroth II procedure (partial gastrectomy), should be explained to address the client's expressed concern
Which action should a novice nurse take when faced with a possibly unsafe clinical situation? A. Speak with the colleagues involved. B. Discuss with the nurse manager. C. Inform the charge nurse. D. Keep quiet and learn.
A. Speak with the colleagues involved A potentially unsafe situation offers an important learning opportunity, so the novice nurse should speak with the colleagues involved. If the situation is indeed unsafe, the novice nurse can institute the process described by the acronym CUSS (I'm Concerned and Uncomfortable, this is not Safe, and we should Stop) to guide communication with colleagues and prevent the potentially unsafe action from occurring. If this is not effective, then consulting with the charge nurse and the nurse manager is the next step for the novice nurse to take
Which program should the nurse manager consider implementing to improve communication among members of the unit's interdisciplinary healthcare team? A. Team STEPPS. B. ECCO. C. LNAP. D. Team nursing.
A. Team STEPPS The Team STEPPS (Strategies and Tools to Enhance Performance and Patient Safety) program is an evidence-based client safety system that aims to optimize client outcomes by improving communication and teamwork skills among members of the interdisciplinary healthcare team
Which situation requires intervention by the nurse who is caring for a terminally ill client in a hospital? A. The case manager notifies the family that the critical pathway requires transfer to a hospice facility. B. The case manager notifies the social worker of the client's financial needs related to hospice care. C. The social worker describes the client's feelings of grief to the spiritual counselor. D. The social worker provides information about long-term care facilities to the client.
A. The case manager notifies the family that the critical pathway requires transfer to a hospice facility. Critical pathways provide care guidelines, rather than required methods of care. The nurse should ensure that the client and family are aware of the options available.
The nurse is using the SBAR technique to communicate with the healthcare provider. Which statement should the nurse use to convey information about the client's situation? A. The client is reporting pain radiating down the left arm. B. The client is diagnosed with an acute myocardial infarction. C. The client had a cardiac catheterization procedure yesterday. D. The client should be transferred back to the intensive care unit.
A. The client is reporting pain radiating down the left arm. SBAR, an acronym for Situation, Background, Assessment, and Recommendation, is a formal method of communication used between members of the healthcare team. When calling the healthcare provider, the nurse should provide a detailed description of the current situation that prompted the need for the call. The nurse should report to the healthcare provider that the client is reporting pain radiating down the left arm.
A hospitalized client requests access to the client's own healthcare records. What should the nurse understand about a client's right to access healthcare records during hospitalization? A. The nurse should follow state laws when providing records to a hospitalized client. B. The hospital has the right to refuse the client's request during a hospitalization. C. Clients are not entitled to look at their records during hospitalization. D. Clients must be provided with an up-to-date copy of their own hospital records.
A. The nurse should follow state laws when providing records to a hospitalized client. Clients generally have a right to access their healthcare records, but the laws about accessing records during a hospitalization vary from state to state. When a client request healthcare records during a hospitalization, it is important for the nurse to be aware of the state laws and follow the healthcare organizational policies and procedures
Which healthcare finance strategy focuses on outcomes and has promoted the greatest quality improvement effort made by healthcare organizations? A. Value-based purchasing. B. Cost-based reimbursement. C. Prospective payment system. D. Contractual payment system.
A. Value-based purchasing Value-based purchasing in healthcare is a finance strategy focusing on performance and outcomes and not on the cost of care. This strategy has promoted the greatest quality improvement effort made by healthcare organizations and offers rewards and incentives to high-performing organizations. The approach was first used in the early 2000s with the passage of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003.
The charge nurse working a 24-bed medical unit in a large acute care hospital is making assignments. Currently, there are 20 clients on the unit and 4 admissions are scheduled to arrive during the shift. Besides the charge nurse, the staff consists of two experienced practical nurses (PN) and one unlicensed assistive personnel (UAP) who has worked on the unit for 10 years. Taking into consideration the acuity of each client, which distribution of clients is the best assignment for the nurse to make? A. 10 clients and 2 admissions to each of the PNs. Have the UAP take all vital signs and collect all I&Os. B. 10 clients to each of the PNs. Have the UAP take vital signs. The charge nurse takes the 4 new admissions. C. 8 clients to each of the PNs, 4 clients to the charge nurse, and the 4 admissions to the UAP. D. 8 clients to each of the PNs, 4 admissions to the charge nurse, and 4 low-acuity clients to the UAP.
B. 10 clients to each of the PNs. Have the UAP take vital signs. The charge nurse takes the 4 new admissions. Considering acuity level, it is best for the nurse to assign 10 clients to each of the PNs, have the UAP take vital signs and collect I&Os, and the charge nurse care for the new admissions since they will all require assessment by the RN. The charge nurse should take the new admissions.
The charge nurse working in a surgical unit must discharge as many clients as possible to prepare for emergency admissions. Which client is stable enough to be discharged from the unit? A. An older adult client with end-stage cirrhosis who had a liver biopsy 8 hours ago. B. A client scheduled for a femoral-popliteal bypass surgery tomorrow. C. A middle-aged client with acute diverticulitis and lower left quadrant pain. D. A female client with angina and ectopy noted on the telemetry monitor.
B. A client scheduled for a femoral-popliteal bypass surgery tomorrow An elective surgical procedure such as a femoral-popliteal bypass can be rescheduled for a later date. The other clients are not stable enough for discharge.
The registered nurse (RN) did not note that a prescription dose was recently changed and did not note the updated medication administration record (MAR). After giving the client the original dose, the RN reports the medication error to the nurse manager. Which consequences will the RN experience due to this error in medication administration? A. The incident will be reported to the state's Board of Nursing (BON). B. A medication error report will be completed and risk management will be notified. C. The RN will be suspended from medication administration until the error is investigated. D. The incident will be documented in the RN's personnel file
B. A medication error report will be completed and risk management will be notified By reviewing the quality of care internally, steps of care can be evaluated and staff can be educated where gaps are identified. The medication report and notification of management is the responsibility of the RN who made the mistake, so an internal review of the steps of the occurrence can be completed to determine further risk potentials
An emergency room anticipates an influx of injured clients from a large motor vehicle collision on a major freeway. Which client should the triage nurse send to the trauma staff for immediate intervention? A. A young adult male with a suspected closed head injury who has no respirations despite having his airway repositioned by the emergency medical team. B. An adult with a suspected intraabdominal bleed who was not breathing on arrival, but is currently responding since repositioning the airway. C. A teenager with a suspected fractured left leg whose respirations are 26 breaths/minute, capillary refill <2 seconds, and who can follow simple commands. D. A young adult with a facial laceration that is controlled by pressure and whose respiratory rate, capillary refill, and ability to follow commands are all within normal limits (WNL).
B. An adult with a suspected intraabdominal bleed who was not breathing on arrival, but is currently responding since repositioning the airway A client with a suspected intraabdominal bleed who was not breathing on arrival, but is currently responding since repositioning the airway, will be red-tagged and attended to immediately. Red-tagged clients have life-threatening injuries and they require immediate treatment.
The nurse educator is teaching the nursing staff about a new computerized documentation system that was recently implemented. What information is the best indication that the education is effective? A. A decrease in the number of calls to the technology department. B. Using less time for nursing staff to complete the daily charting. C. An increase in staff acceptance of computerized charting. D. An improvement from the pretest scores of the training session.
B. Using less time for nursing staff to complete the daily charting. Being able to use the system to accomplish charting more efficiently and in less time compared to previous documentation techniques indicates the staff has learned how to use the system effectively. The other options are not indicative of effective education.
During coronary artery bypass graft (CABG) surgery, a male client with a history of chronic tobacco abuse experiences a dramatic decrease in his oxygen saturation. Subsequently, the client remains on a ventilator for two days longer than anticipated. Which factor should the nurse consider when evaluating the client's progress? A. Goal. B. Variance. C. Standard. D. Outcome.
B. Variance. A variance is any event that may alter a client's progress through the clinical pathway, such as remaining on a ventilator for an additional two days.
A nurse who works in an acute minor illness clinic returns from lunch and finds several clients who need attention. Which client should the nurse attend to first? A. A 10-year-old with asthma who is responding well to nebulizer treatments. B. A three-week-old infant who is nursing and was brought in because he had a fever. C. A 4-year-old receiving intravenous fluid for dehydration whose IV fluid bag is empty. D. A 6-year-old with Down syndrome who has been coughing productively.
C. A 4-year-old receiving intravenous fluid for dehydration whose IV fluid bag is empty The nurse should attend to the child who is dehydrated and receiving IV fluids first. Not knowing how long the fluid bag has been empty, the nurse should hand a new bag, see if it flows, and if not, assess for infiltration
The nurse receives reports in the emergency center for four clients. Which client should the nurse assess first? A. A screaming child with a compound fracture of the wrist. B. A diabetic client with a laceration on the sole of the foot. C. A client experiencing shortness of breath and dyspnea. D. A geriatric client with many new and old bruises noted.
C. A client experiencing shortness of breath and dyspnea Maslow's hierarchy of needs prioritizes oxygen and airway maintenance as immediate needs, so the emergency, life-threatening needs of a client who is short of breath and dyspneic should be assessed for airway maintenance, breathing and circulation as determined by assessment of vital signs. The other options do not have priority over breathing
The nurse-manager is talking to a new nurse who is thinking about resigning before orientation to the unit is over. The nurse-manager explains that reality shock after graduation is common. Which explanation should the nurse-manager use to best describe reality shock to the new nurse? A. A realization that practice and education are not the same. B. A series of experiences to become an experienced nurse. C. A period of role adjustment from school into the work force. D. A phase that new nurses go through before changing jobs.
C. A period of role adjustment from school into the work force Reality shock is a term often used to describe the reaction experienced when one moves after several years of educational preparation which occurs in a familiar, idealistic educational environment, into a new role in the workforce where the expectations are not clearly defined in a realistic setting.
The nurse is preparing assignments for the day shift. It is most important that the client with which diagnosis and description is assigned to a registered nurse? A. Menorrhagia: 24 hours post vaginal hysterectomy. B. Myocardial Infarction: 4 days post-infarction, transferred from ICU yesterday. C. Depression: Admitted during the night, following a suicide attempt with an overdose of acetaminophen. D. Pneumonia: A 4-year-old who is receiving IV antibiotics.
C. Depression: Admitted during the night, following a suicide attempt with an overdose of acetaminophen. The client with depression who was admitted during the night following a suicide attempt with an overdose of acetaminophen requires communication skills and assessment skills beyond the educational level of a practical nurse or UAP. Establishing a therapeutic, one-to-one relationship with a depressed client could be beyond the scope of practice for a practical nurse, depending on which state they live in. Additionally, acetaminophen is extremely hepatotoxic, and careful assessment is essential.
The charge nurse working in a long-term care facility is informed by the nurse that a client's son is unhappy with the care his mother is receiving. Which action should the nurse take first? A. Ask the family member to come to the nurses' station to discuss the concerns. B. Provide the son with a complaint form and ask him to describe the situation. C. Discuss with the nurse the son's concerns about his mother's care. D. Notify the administrator of the long-term care facility about the son's discontent.
C. Discuss with the nurse the son's concerns about his mother's care The nurse should first obtain information about the nature of the complaint and ask the primary nurse to describe what he/she knows of the situation. Discussing the son's concerns about his mother's care with the nurse should be the first action. All the other options may need to be implemented after the discussion
The nurse is designing a program to control hospital-associated infections in a geriatric unit of an acute care hospital. Which strategy should be included in this plan? A. Do not allow those with influenza to be admitted to the unit. B. Require that all clients receive a pneumonia vaccine prior to admission. C. Ensure that sterile technique is followed when changing surgical dressings. D. Encourage clients to drink water to prevent urinary tract infections.
C. Ensure that sterile technique is followed when changing surgical dressings A hospital-associated infection is one that was not present or incubating at the time of admission, and using appropriate sterile technique and medical asepsis helps to prevent this type of infection from occurring. The other options are infection-preventive techniques but are not specific to the prevention of hospital-associated infections.
When the charge nurse is making assignments, which tasks can be assigned to an unlicensed assistive personnel (UAP)? A. Perform a dressing change, oral suctioning, and admission of a client to the unit. B. Time contractions, determine fetal heart rate, and administer an enema to a client in early labor. C. Take vital signs, give a cleansing enema, and apply soft restraints to an older client. D. Irrigate a nasogastric tube, collect a stool specimen, and measure intake and output.
C. Take vital signs, give a cleansing enema, and apply soft restraints to an older client After the nurse has validated an individual's competency, the UAP can be assigned tasks such as measuring vital signs, giving a cleansing enema, and applying soft restraints. Tasks that involve assessment should be assigned to licensed personnel-practical nurses (PNs) or registered nurses (RNs)
The charge nurse, along with two registered nurses (RN), one practical nurse (PN), and one unlicensed assistive personnel (UAP), are working in an emergency department. Which activity should be assigned to the UAP? A. Monitor a client with mid-sternal chest pain, nausea, and vomiting. B. Give instructions to the EMS about a patient being transferred to a nursing home. C. Transport a client diagnosed with septicemia to the medical unit. D. Obtain the history of a female client who presents in early labor. Submit
C. Transport a client diagnosed with septicemia to the medical unit The UAP should be assigned to transport the client with septicemia to the medical unit. The other assignments should not be delegated to the UAP
The nurse is giving a change-of-shift report for four clients in the emergency center and reports the client with a terminal disease has a living will and a "Do not resuscitate" (DNR) order on file. Which client fits the criteria for a terminal illness? A. A 2-year-old child with esophageal burns from drinking drain cleaner who now has a gastrostomy tube. B. A 76-year-old female client with Alzheimer's disease who is pacing the halls and trying to "go home." C. A 52-year-old male client who had a partial lobectomy and is on a ventilator on the second postoperative day. D. A 43-year-old male with amyotrophic lateral sclerosis who is refusing artificial nutrition or hydration.
D. A 43-year-old male with amyotrophic lateral sclerosis who is refusing artificial nutrition or hydration Terminal illness describes the client's life-expectancy as less than six months without life-sustaining measures, therefore, a 43-year-old male client with ALS who is refusing artificial nutrition or hydration describes the client with a terminal disease who may not survive more than a few days after the refusal of food and hydration. The other options do not describe a client with a terminal illness and require further information to clarify the DNR order
A 15-year-old sexually active client diagnosed with pelvic inflammatory disease (PID) is admitted to the hospital with a temperature of 101.6 °F and a purulent vaginal discharge. She has no insurance and tells the nurse she enjoys small children. Which room should the nurse assign this client to? A. A semi-private room with a 4-year-old girl who is currently receiving chemotherapy. B. A semi-private room with an older adolescent girl who had surgery yesterday. C. A room close to the nurse's station. D. A private room.
D. A private room A 15-year-old sexually active girl is admitted to the hospital with a diagnosis of pelvic inflammatory disease, a temperature of 101.6, and purulent vaginal drainage. She has no insurance. Despite the fact the the client has no insurance and would be comfortable in a room with another child, she is infected and should be placed in a private room
The charge nurse is assigning a room for a newly admitted client, diagnosed with acute Pneumocystis jirovecii pneumonia, secondary to acquired immunodeficiency syndrome (AIDS). Which room would be best to assign to this client? A. A private room fully equipped with an outside air ventilation system. B. A semi-private room shared with a bed-ridden elder who would enjoy the company. C. A semi-private room with a bed available nearest to the bathroom. D. A semi-private room that does not have a client in the other bed at this time.
D. A semi-private room that does not have a client in the other bed at this time A semi-private room without a roommate is the best assignment because the room can be easily blocked to create a private room should the client require isolation measures due to pneumonia. The AIDS diagnosis alone does not affect the type of room assignment.
The nurse is caring for 4 clients on an orthopedic floor: 2 clients with total hip replacements, one client with total knee replacement, and one client with a fractured femur who is in skeletal traction. Which nursing task should the nurse delegate to the unlicensed assistive personnel (UAP)? A. Adjust the setting on the continuous passive motion machine (CPM). B. Clean the skeletal traction insertion sites while performing morning care. C. Assist the client to ambulate for the first time after surgery. D. Change the linens for the client with skeletal traction.
D. Change the linens for the client with skeletal traction The client in skeletal traction cannot get out of bed, so the UAP should change the linens with the client in the bed. The other options are beyond the scope of the UAP and should not be delegated
The charge nurse assigns the care of a client with diabetes who has hyperglycemia to a practical nurse (PN). In supervising the PN, which is the charge nurse's most important action? A. Decide which sliding scale insulin dose should be administered. B. Obtain the blood sugar results via skin puncture and a glucometer. C. Notify the healthcare provider of the daily serum glucose results. D. Confer with the PN about any manifestations the client is exhibiting.
D. Confer with the PN about any manifestations the client is exhibiting The nurse's expertise is needed to perform a critical assessment, such as assessing the client for signs of hyperglycemia and supervising the ongoing monitoring of the client by the PN
Which task should the nurse delegate to an Unlicensed Assistive Personnel (UAP)? A. Accompany the healthcare provider during client visits. B. Determine a client's response to pain. C. Observe a client's central venous catheter site. D. Feed a client with minimal dysphagia.
D. Feed a client with minimal dysphagia Delegation of client care is delineated by state boards of nursing practice and includes specific guidelines regarding which tasks are within the scope of practice for each level of care provider and the components of delegation to the UAP. Feeding a client is a basic client care measure that is within the scope of practice for a UAP. The other options require assessment and analysis which require the expertise of a licensed nurse
A female client is receiving an enteral feeding via a nasogastric feeding tube. The daughter reports to the charge nurse that her mother is coughing vigorously and sounds congested. Which staff member should the charge nurse ask to check on the client? A. Registered nurse (RN) who is admitting a new postoperative client to the unit. B. Practical nurse (PN) who is giving routine medications. C. Practical nurse (PN) who is talking with anxious family members. D. Registered nurse (RN) who is entering nursing notes on the computer.
D. Registered nurse (RN) who is entering nursing notes on the computer This client requires advanced, problem-solving assessment skills, and the RN, not the PN, is best qualified to assess the client's lungs, the position of the NGT, and the possibility that the feeding tube has moved or kinked, allowing the tube feeding to enter the client's lungs. Therefore, the RN who is working on a task with lower priority should attend to the client
The unlicensed assistive personnel (UAP) reports morning vital signs to the primary nurse. Which client should the nurse assess first? A. The client who is diagnosed with myxedema with a temperature of 96.8 °F. B. The client who is one day postoperative abdominal surgery with a pulse of 104 beats/minute. C. The client who is diagnosed with hypertension and has a blood pressure of 154/94 mmHg. D. The client who is diagnosed with pneumonia and has a respiratory rate of 26 breaths/minute.
D. The client who is diagnosed with pneumonia and has a respiratory rate of 26 breaths/minute The normal respiratory rate is 12 to 20 breaths/min, so a client with respiratory compromise (pneumonia) who has an increased respiratory rate should be assessed immediately
A nurse is caring for several clients on a progressive care step-down unit. After assessing the clients, which clerical task should the nurse assign to an unlicensed assistive personnel (UAP)? A. Chart pulse oximeter readings and type of breath sounds auscultated in the medical record. B. Record the presence of blood-tinged urine and the hourly indwelling catheter output on the flow sheet. C. Document the type and amount of drainage on a new surgical dressing in the progress note. D. Transcribe the vital signs from a unit worksheet to the individual graphic page in the client charts.
D. Transcribe the vital signs from a unit worksheet to the individual graphic page in the client charts Recording vital signs on the graphic record does not entail assessment or evaluation of the findings, so the UAP may perform this function. Nurses may not delegate assessment or documentation responsibilities to UAPs. Nurses must complete assessment activities and record findings in the medical record
The nurse and unlicensed assistive personnel (UAP) are working together to provide care for a bedfast client needing total care, medications, and indwelling catheter irrigation. How should the nurse assign the client's care? A. UAP: Personal care, catheter irrigation, I&O. Nurse: Medications. B. UAP: Personal care. Nurse: Medications, catheter irrigation, I&O. C. UAP: Catheter irrigation, I&O. Nurse: Medications. Both provide personal care. D. UAP: Personal care, I&O. Nurse: Catheter irrigation, medications.
D. UAP: Personal care, I&O. Nurse: Catheter irrigation, medications The nurse is responsible for medication administration and sterile procedures such as catheter irritation. The UAP is qualified to provide personal care and measure I&O
