#8

Which client should the nurse consider to need the highest priority care?

A client with a CURB-65 score of 5

What is discussed in Hersey's 2006 model related to delegation?

Core competencies of a situational leader

Which action in the delegation process represents accountability?

Monitoring the client care given and determining outcomes

Which primary task is achieved by a delegator when delegating a task to a delegatee for an effective outcome?

Motivating

A client is prescribed apomorphine. Which concern would be a priority while addressing patient needs?

Operating heavy machinery or driving

The client receives dosages of sedative and opioid drugs during the postoperative period following surgical correction of a small bowel obstruction. What is the most critical assessment to be performed as a nursing safety priority?

Respiratory assessment

The registered nurse is assigning a task to an unlicensed nursing personnel (UNP). Which key elements are considered while assessing the UNP's ability to perform work? Select all that apply.

Safety Stability Critical Thinkinh

A major city hospital is planning to implement primary nursing. What issues must be considered prior to the implementation of this care approach? Select all that apply.

Salaries of care providers Disposition of current support staff Educational preparation of the staff Number of registered nurses needed

What points should the nurse consider when delegating a task? Select all that apply.

Checking the skill set of the delegatee Selecting the delegatee based on his or her competence levels Being certain that the delegatee is capable of completing the task

For which situations would total client care be an appropriate delivery system? Select all that apply.

Client with an endotracheal tube for pulmonary sepsis Client recovering from cardiovascular bypass graft surgery Client recovering from the placement of a cerebrospinal fluid shunt

Which charge-nurse remark would be expected in a care area that is using team nursing as a care delivery method?

"Have you discussed this client care issue with your team leader?"

The registered nurse (RN) and unlicensed assistive personnel (UAP) are caring for a client with diarrhea. After 2 hours, the RN communicates with the UAP and decides that the client needs immediate assessment. Which statements by the UAP led the nurse to this conclusion? Select all that apply.

"Temperature of the client is 105° C." "I have administered intravenous fluids to the client."

Which priority assessments should be included by the nurse when caring for a client who is experiencing depression? Select all that apply.

Appetite Activity status Emotional status

After reviewing blood test reports, in which client's care plan does the nurse document monitoring jaundice as a priority nursing intervention?

Client with hemoglobin level of 4g/dL

The nursing team is involved in effective pain management. Which task would be performed by a registered nurse (RN) in this case?

Developing a treatment plan for client's pain

How can registered nurses develop delegation and supervisory strategies to adapt to their changing roles? Select all that apply.

Engage a nurse mentor for guidance. Reinforce delegation knowledge through continuing education. Seek high-quality clinical delegation experience early in their career.

Which questions should the nurse consider to assess and ensure delegation to the right person? Select all that apply.

Is the prospective delegatee a willing and able employee? Does the delegatee have the knowledge and experience to perform the specific task safely?

The emergency department (ED) nurse is providing care to a burn trauma client. Which is the priority for the nurse to monitor for after removing the client's clothing?

Hypothermia

The body temperature of a heat stroke client is above 104° F (40° C). What is the priority order the nurse would use for cooling the client so that breathing and circulation are not impaired?

The nurse should remove the client's clothing then place ice packs on the neck, axillae, chest, and groin. The third step involves the nurse immersing the client in cold-water, making the body wet. In the fourth step, the nurse should fan the client rapidly to aid in cooling by evaporation.

The charge nurse is communicating with the registered nurse about caring for a client with a respiratory disorder. Which instructions are delegated to the registered nurse to provide effective care to the client? Select all that apply.

"Assess the client's respirations after 1 hour." "Provide intravenous medication every 3 hours."

What does Hersey's situational leadership model describe about ability and willingness? Select all that apply.

An individual's ability does not change from one moment to the next. An individual's willingness can fluctuate from one moment to another. Ability and willingness need to be assessed to determine the level of the follower's readiness.

Which quality of the nursing assistant should be known by the delegator when assigning a task?

ability

xThe registered nurse is delegating tasks for nursing assistants caring for a client who requires more attention. Which element should be considered when selecting the suitable nursing assistant for delegation of a task?

critical thinking

The registered nurse delegates the tasks related to caring for a client who has undergone surgery. What are the benefits of delegation in this situation? Select all that apply.

Increased efficiency Improved quality of client care Increased professional skills of the unlicensed assistive personnel

As a part of the nursing curriculum, the nursing faculty is teaching nursing students about high-quality clinical delegation experiences and has also chosen to engage the students with nursing mentors. Which skill does the nursing faculty expect the nursing students to develop via this approach?

Professional self-confidence in delegation

What are the various challenges related to delegation? Select all that apply.

Providing clear direction to the delegatee Understanding the skill set of the delegatee Maintaining an open line of communication with the delegatee

The emergency department nurse is called to care for a client with a snake bite. What are the nursing interventions performed by the nurse in the order of priority?

While providing prehospital care for a client with a snake bite, the nurse should first move the client to a safe area away from the snake and encourage rest to reduce venom circulation. Next, the nurse should remove constricting clothing and jewelry before swelling worsens. Then, the nurse should immobilize the affected area using a splint to limit the spread of venom. The nurse should then call for immediate emergency medical assistance. Lastly, digital photographs are taken at a safe distance to help in identification of the snake.

The nurse is teaching a group of nursing students how to gather historic data for a client experiencing acid-base imbalance. Which statements indicate the student nurses need further teaching? Select all that apply.

"I should compare the mental status of the client with that of the family statement." "I should compare the mental status of the client with the statement provided in the health record of the client."

The nurse is teaching a group of student nurses about emergency treatment procedures for the local complication of intravenous therapy involving thrombosis. Which statements made by the student nurse require correction? Select all that apply.

"I should lower the extremity of the client." "I should apply warm compresses to stabilize the clot." "I should stop the infusion, but keep the short peripheral catheter in place."

The nurse is teaching a group of students about neuromuscular manifestations of alkalosis with hypocalcemia. Which statements provided by a student nurse indicate the need for further learning? Select all that apply.

"The client would show signs of hyporeflexia." "The client would show signs of paresthesias."

The nurse is delegating someone to care for a client with diabetes mellitus. Which instruction given by the nurse better explains the selling relationship with the delegatee?

"You will take complete care of the client with diabetes and make sure to record the blood glucose level."

A nurse is assigned to take care of a group of clients. Which client should the nurse see first?

A 2-year-old client with diarrhea

The blood lab work for a client with purpuric lesions on the skin shows a thrombocyte count of 100,000 cells per microliter. Which nursing intervention would be priority in this patient to reduce the risk of bleeding?

Advising the client to drink plenty of fluids

What is the status of the unit secretary as a member of the healthcare team, which is in the span of control of a registered nurse (RN)?

Devoid of legal authority

The registered nurse in a hospice is working with a new assistant who has prior experience working in a physician's office. Which action made by the registered nurse will promote a healthy working environment?

Encouraging the assistant to adopt the philosophy of the organization

The registered nurse finds that the delegatee is only working for half a day in the healthcare unit. Which is the most appropriate leadership style in this situation?

Telling