Leadership management 103576

The nursing instructor is helping students learn about bioethics, which is the study of specific ethical questions that arise in health care. The instructor reviews with the students which basic principles of bioethics? Select all that apply.

Autonomy: Respecting the rights of others to make their own decisions (e.g., acknowledging the client's right to refuse medication promotes autonomy) Beneficence: The duty to act to benefit or promote the good of others (e.g., spending extra time to help calm an extremely anxious client) Veracity: One's duty to communicate truthfully (e.g., describing the purpose and side effects of psychotropic medications in a truthful and non-misleading way) Fidelity (nonmaleficence): Maintaining loyalty and commitment to the client and doing no wrong to the client (e.g., maintaining expertise in nursing skill through nursing education) Justice: The duty to distribute resources or care equally, regardless of personal attributes (e.g., an ICU nurse devotes equal attention to someone who has attempted suicide as to someone who suffered a brain aneurysm)

A licensed practical nurse (LPN) has received the assignment for the day shift. After making rounds and checking all of the assigned clients, which client will the LPN plan to care for first?

A client with a fever who is diaphoretic and restless3

The licensed practical nurse (LPN) enters a client's room and finds the client lying on the bathroom floor. The LPN calls the registered nurse, who checks the client thoroughly and then assists the client back into bed. The LPN completes an incident report, and the nursing supervisor and primary health care provider (PHCP) are notified of the incident. Which is the next nursing action regarding the incident?

Document a complete entry in the client's record concerning the incident.4

The nurse administers medications to the wrong client. During the investigation of the incident, it was determined that the nurse failed to check the client's identification bracelet before administering the medications. The nursing supervisor evaluates the situation and determines that the nurse can be guilty of negligence because negligence is correctly characterized by which statement?

Negligence is defined as the failure to meet established standards of care.

A client was involuntarily admitted to the psychiatric unit because of episodes of extremely violent behavior. The client is demanding to be discharged from the hospital. The licensed practical nurse (LPN) reports the information to the registered nurse (RN), and the RN does not allow the client to leave. The LPN understands that which represents the legal ramifications associated with the RN's behavior?

No charge will be made against the RN because the RN's actions are reasonable.

The nurse is caring for a client with a diagnosis of end-stage renal disease. The client tells the nurse that a lawyer has prepared a living will and will be visiting the client today so that the will can be reviewed. The client also tells the nurse that the lawyer has asked for a witness to sign the will and requests that the nurse act as a witness. Which is the most appropriate nursing response to the client?

"A nurse caring for a client cannot serve as a witness to a living will."

A nursing instructor asks a nursing student to describe accountability. Which statement by the student indicates an inaccurate description of accountability?

"Accountability can be delegated."2

A client asks the nurse to describe the preferred provider organization model of care because the client is unsure of the procedure involved in this form of health care. Which statement by the nurse indicates an inaccurate description of this form of organization?

"Beneficiaries are limited to those providers that are participating primary health care providers for any required health care services."

An older woman is brought to the emergency department. When caring for the client, the nurse notes old and new ecchymotic areas on both of the client's arms and buttocks. The nurse asks the client how the bruises were sustained. The client, although reluctant, tells the nurse in confidence that her daughter frequently hits her if she gets in the way. Which is the appropriate nursing response?

"I have a legal obligation to report this type of abuse."2

The nurse manager asks a licensed practical nurse to work on her day off because of a short-staffing problem. The licensed practical nurse has already made plans and does not want to work on the day scheduled to be off. Which response by the licensed practical nurse to the nurse manager is assertive?

"I have planned to take the day off and will not be able to work on that day."

A licensed practical nurse is precepting a student assigned to care for a client with chronic pain. Which statement, if made by the student, indicates the need for further teaching regarding pain management?

"I will be sure to cue in to any indicators that the client may be exaggerating their pain."

A hospitalized client tells the nurse that a living will is being prepared and that the lawyer will be bringing the will to the hospital today for witness signatures. The client asks the nurse for assistance in obtaining a witness to the will. Which response to the client is appropriate?

"I will call the nursing supervisor to seek assistance regarding your request."

The nurse asks a nursing student to describe case management. Which student response indicates a lack of understanding about this concept?

"It represents a primary health prevention focus managed by a single case manager."3

The nurse is educating a new nurse about mass casualty events (disasters). Which statement by the new nurse indicates a need for further teaching? Select all that apply.

"Mass casualty events do not require an increase in the number of staff that are needed." "A mass casualty event occurs only within the heath care facility and could endanger staff." "A mass casualty event occurs if a fight between visitors occurs in the emergency department."

The new nurse graduate asks another nurse about the need to obtain professional liability insurance. Which is the most appropriate response by the nurse?

"Nurses need to have their own malpractice insurance."3

A nursing instructor asks a nursing student to define a critical path. Which statement made by the student indicates a need for further teaching regarding critical paths?

"They are nursing care plans and use the steps of the nursing process."3

A nursing instructor asks a nursing student to describe the standards of care formulated by the American Nurses Association. Which statement by the student indicates an inaccurate description of these statements?

"They are specific guidelines."2

A client brought to the emergency department is dead on arrival (DOA). The family of the client tells the primary health care provider that the client had terminal cancer. The emergency department primary health care provider examines the client and asks the nurse to contact the medical examiner regarding an autopsy. The family of the client tells the nurse that they do not want an autopsy performed. Which response to the family is appropriate?

"Your request will be given to the medical examiner when their office is contacted."4

The nurse has received the following client assignments. In which priority order should the clients be seen based on the clients' needs? Arrange the clients in the order that they should be seen. All options must be used.

1. A client with an arm cast for 1 day complaining of excruciating pain in the casted arm 3. A client admitted 4 days ago following a myocardial infarction (MI), complaining of a headache 5. A client who is 3 days postoperative abdominal surgery, complaining of pain when taking a deep breath 4. A client 1 day postoperative following an open reduction and internal fixation to the wrist, complaining of pain localized to the pin sites 2. A client being transferred from the intensive care unit (ICU), 1 day post-coronary artery bypass graft surgery, complaining of incisional pain

Place in correct order the steps the nurse would use to resolve an ethical dilemma. Arrange the actions in the order that they should be performed. All options must be used.

3. Clarify values. 6. Negotiate a plan. 7. Evaluate the plan. 4. Verbalize the problem. 2. Gather necessary information. 5. Identify possible courses of action. 71 Determine if an ethical dilemma exists.

The nurse is planning the client assignments for the day. The assignment that the nurse communicates to the assistive personnel (AP) includes which clients? Select all that apply.

A 9-year-old client with cystic fibrosis who requires assistance with toileting2 A 12-month-old client admitted 3 days ago with respiratory syncytial virus (RSV) who requires a bath A 10-month-old admitted for spasmodic laryngitis croup who is scheduled for discharge the following day who requires feeding

The nurse has received a 7:00 a.m. change of shift report on four clients. Which client would the nurse check first?

A client admitted early this morning with right lower quadrant abdominal pain and an elevated leukocyte count2

The nurse is planning the client assignments for the day. Which is an appropriate assignment for the assistive personnel (AP)?

A client who requires a 24-hour urine collection4

The nurse is planning the client assignments for the day. Which is the most appropriate assignment for the assistive personnel (AP)?

A client who requires frequent ambulation3

A nurse employed in a long-term care facility is planning assignments for the clients on a nursing unit. The nurse must assign 4 clients and has a licensed practical nurse (LPN) and 3 assistive personnel (AP) on a nursing team. To which client would the nurse assign the LPN?

A client with an abdominal wound requiring wound irrigations and dressing changes every 3 hours

A client is being evaluated as a potential kidney donor for a family member. The donor asks the nurse why a different team of people other than the team working with the potential recipient is doing the evaluation. Which response would the nurse give to the client?

A conflict of interest by the team evaluating the recipient and the team evaluating the donor is avoided.

The nurse is told in intershift report that a client has been appointed a legal guardian. The nurse looks for what evidence that supports this information?

A judicial decision in a court of law3

The nurse finds the client lying on the floor. The nurse calls the registered nurse, who checks the client and then calls the nursing supervisor and the primary health care provider to inform them of the occurrence. The nurse completes the incident report for which purpose?

A method of promoting quality care and risk management3

The nurse is assisting in reviewing the critical paths of the clients on the nursing unit. In performing a variance analysis, which indicates the need for further action and analysis?

A postoperative client who develops a cough and a fever3

The emergency department nurse receives a telephone call and is informed that a tornado has hit a local residential area and numerous casualties have occurred. The victims will be brought to the emergency department. Which would be the initial nursing action?

Activate the agency emergency response plan.3

The nursing instructor asks a nursing student to identify the priorities of care for an assigned client. The student correctly identifies which aspect of care as a priority of care?

Actual or life-threatening concerns2

A client with a diagnosis of cystitis has an indwelling urinary catheter and is being cared for by an assistive personnel (AP). The nurse observes the AP care for the client and intervenes if the AP performs which action?

Allows the drainage tubing to rest under the leg2

A client will be undergoing a colonoscopy in the morning. Which task is appropriate to delegate to the assistive personnel (AP)?

Answering the call light promptly after the enema has been given4

The nurse is recording a nursing hands-off (end-of-shift) report for a client. Which information needs to be included?

As-needed medications given that shift2

The nurse who works in a cardiac unit reports to work and is told that she needs to float to the neurological nursing unit because of a short-staffing problem on that unit. The nurse reports to the unit and receives a client assignment for the day from the nurse manager. The nurse is angry with the assignment because of a belief that the assignment is more difficult than the assignment delegated to other nurses on the unit. The nurse would carry out which action?

Ask the nurse manager of the neurological unit to discuss the assignment.4

The nurse is caring for a client who has refused to take an oral medication. The nurse tells the client that the nurse will hold the client down and give the medication by injection if the client doesn't take the oral medication. The nurse then takes the client's bathrobe so the client will have to remain in his room. Which intentional torts has this nurse committed? Select all that apply.

Assault False imprisonment

The nurse is assisting in planning client assignments. Which is the most appropriate assignment for the assistive personnel (AP)?

Assisting a client to ambulate after an appendectomy4

A client experiences cardiac arrest. The nurse leader quickly responds to the emergency and assigns clearly defined tasks to the work group. In this situation, the nurse is implementing which leadership style?

Autocratic2

Which factors would the nurse consider when developing a critical incident stress debriefing (CISD) plan for employees of a level 1 trauma center? Select all that apply.

CISD promotes effective coping strategies. CISD may help prevent posttraumatic stress disorder.5 CISD is only one component of a much larger stress management program. Submit CISD occurs in small group settings for staff.3

The nurse who works on the night shift enters the medication room and finds a coworker with a tourniquet wrapped around the upper arm. The coworker is about to insert a needle attached to a syringe containing a clear liquid into the antecubital area. Which action would be the appropriate initial action by the nurse?

Call the nursing supervisor.

The nurse is caring for a client who just returned from surgery for repair of a fractured arm. The client complains of severe pain in the arm and also that his hand is feeling numb. The nurse notes that the client's fingers are pale and that the pulse in his arm is very weak. The nurse notifies the registered nurse, who attempts to contact the surgeon numerous times, but the surgeon does not return the call. The nurse anticipates that who would be notified at this point? Select all that apply.

Charge nurse2 Surgeon's supervisor5

The nurse is assigned to care for a newly admitted client and is reviewing the primary health care provider's prescriptions. The nurse notes that the primary health care provider has prescribed a medication dose that is twice the amount that the client reports taking before admission. Which nursing action is appropriate?

Consult with the registered nurse (RN).2

The nurse is preparing to administer medications to an assigned client and notes that the prescription for furosemide is higher than the recommended dosage. The nurse calls the primary health care provider to clarify the prescription and asks the primary health care provider to prescribe a dosage within the recommended range. The primary health care provider refuses to change the prescription and instructs the nurse to administer the dose as prescribed. Which action would the nurse take?

Contact the nursing supervisor.3

After weeks of witnessing a hospice client's deterioration and subsequent death from liver failure, his family disagrees about performing an autopsy. Which criterion does the nurse use to determine if the autopsy can proceed?

Determination by the client's son

Following an airplane crash that had only a few survivors, the nurse would anticipate which survivor responses to stress? Select all that apply.

Difficulty sleeping2Feeling vulnerable3Feeling blame or guilt4Feeling numb or in disbelief

A pediatric nurse arrives at work and is told to report (float) to the emergency department (ED) for the day because the ED is expecting numerous victims to arrive following a train crash. The nurse has never worked in the ED and is anxious about floating to this area. Which is the appropriate nursing action?

Discuss her anxieties and concerns with the nursing supervisor about floating.

A vascular surgeon repeatedly asks the nurse to obtain signed consent forms on his surgical clients. The nurse is uncomfortable with obtaining the informed consents and explains this to the surgeon, but the surgeon tells the nurse that she will be reported if the consents are not obtained. The nurse would appropriately manage this situation by taking which action?

Discuss the situation with the nurse manager.3

A student nurse has received the client assignment for the day and is organizing the required tasks. The nursing instructor reviews the plan for time management with the student and determines that the student needs assistance with the plan if the student indicated that which activity would be part of it?

Documenting task completion at the end of the day

The nurse has been asked to serve on the health care facility ethics committee and knows that this committee serves which purposes? Select all that apply.

Education2Case consultation3 Process ethical dilemmas5

Following a group therapy session, a client approaches the nurse and verbalizes a need for seclusion because of uncontrollable feelings. The nurse reports the findings to the registered nurse (RN) and expects that the RN will take which action?

Get a written prescription from the primary health care provider (PHCP) and obtain an informed consent. Submit

The nurse witnesses an automobile accident and provides care at the scene of the accident to an open wound on a young child. The family is extremely grateful and insists that the nurse accept monetary compensation for the care provided to the child. Because of the family's insistence, the nurse accepts the compensation to avoid offending the family. The child develops an infection and sepsis and is hospitalized. The family files suit against the nurse who provided care to the child at the scene of the accident. The nurse understands that which is accurate regarding immunity from this suit?

Good Samaritan laws will not provide immunity from suit if the nurse accepted compensation for the care provided.

The nurse wants to ensure that the emergency department is prepared for a disaster and is creating an action plan for educating the staff. Which actions would the nurse plan in order to adequately prepare the staff? Select all that apply.

Identify specific nursing roles during a disaster. Test the disaster plans before a disaster occurs. Encourage each nurse to create a personal emergency preparedness plan. Begin educating staff on role responsibilities that will occur at the time of a disaster.

The licensed practical nurse (LPN) employed in a long-term care facility is asked to assist in planning implementation of a change in the method of documentation system in the nursing unit. Many problems have occurred as a result of the present documentation system, and the nurse manager determines that a change is required. The LPN understands that which is the initial step in the process of change?

Identify the inefficiency that needs improvement or correction.4

A client who has heart failure receives an additional dose of bumetanide as prescribed 4 hours after the daily dose. The nurse assesses the client 15 minutes after administering the medication and reminds the client to save all urine in the bathroom. Sixty minutes later the nurse finds the client on the floor, unresponsive, and bleeding from a laceration. Which issues support the client's malpractice claim? Select all that apply.

Increased risk of hypotension Lack of follow-up nursing actions Increased need to protect the client Failure to teach the client adequately

The nurse is aware that criminal offenses would have which characteristics as opposed to civil offenses? Select all that apply.

It is offensive to society in general. It is detrimental to society as a whole. It involves offenses such as robbery, murder, and assault. It will result in punishment whose purpose is to deter further crimes.

A new nurse is employed at a local community hospital and is attending an orientation session. The nurse educator conducting the session asks the new nurse to describe an organization's mission statement. The new nurse appropriately responds with which statement?

It outlines what the organization plans to accomplish.3

The nurse is aware that the ethical philosophy of deontology is composed of which "right-making characteristics"? Select all that apply.

Justice2 Truthfulness4 Fidelity to promises

The nurse reviews the nursing care plan developed by a nursing student caring for a client who is receiving continuous tube feedings via a nasogastric (NG) tube. The nurse intervenes if the student documents which intervention in the plan?

Keep the feeding bag filled with at least 100 mL of feeding continuously so that it does not run dry.

The nurse is aware that the Americans with Disabilities Act provides which rights? Select all that apply.

Labels asymptomatic HIV as a disability Protects the privacy of individuals with HIV Prohibits discrimination in employment and public services5

A client reports having had two bowel movements this morning and refuses a dose of docusate sodium. After appropriately charting in the medication administration record, which action would the nurse take?

Make a notation regarding the client's refusal in the nurse's notes.3

An assistive personnel (AP) tells the nurse that she is becoming very frustrated trying to communicate with an older client who is severely hard of hearing and does not have his hearing aid. Which instructions would the nurse recommend to improve communication between the AP and the client? Select all that apply.

Make sure the environment is well lit. Face the client and speak slowly and clearly. Ask the client to restate what has been said. Turn the television volume down while communicating.

The licensed practical nurse knows that which items are examples of common law? Select all that apply.

Malpractice2Informed consent Client's right to refuse treatment

A client in labor is experiencing dystocia. In delivering care to this client, the nurse would place the highest priority on which ongoing nursing interventions?

Monitoring the status of both mother and fetus3

The nurse was assigned to care for five clients and spent most of the day caring for one of these clients who had just returned from surgery. The nurse did not ask for assistance and did not regularly check on the other clients. During the day, one of the nurse's other clients got out of bed without calling for assistance and fell, breaking his arm. Which possible charges could this nurse face with this situation? Select all that apply.

Negligence Malpractice Abandonment of care

A client tells the nurse about deciding to refuse external cardiac massage. Which would be the most appropriate initial nursing action?

Notify the primary health care provider of the client's request.4

The licensed practical nurse (LPN) is obtaining a client's signature on an informed consent for a total knee replacement surgery. The client has many questions and seems reluctant to sign the consent. Which best action would the LPN take?

Notify the surgeon that the client has many questions about the procedure.

The nurse has just been licensed and has begun to practice in an acute health care facility. The nurse knows that which nursing specialties will require more specific defined standards of care and skills? Select all that apply.

Nurse-midwives Nurse-anesthetists Intensive care unit (ICU) nurses

Emergency surgery is scheduled for a client with a bowel obstruction. The licensed practical nurse (LPN) tells the registered nurse (RN) that she is unable to obtain informed consent from the client because the client has received opioid analgesics and is sedated. The LPN understands that which action would be implemented?

Obtaining a telephone consent from a family member and ensuring that the oral consent is witnessed by two persons

The nurse has delegated several nursing tasks to staff members. Which is the nurse's primary responsibility after the delegation of tasks?

Perform follow-up with each staff member regarding the performance and outcome of the task.

Which are the best ways for the nurse to avoid malpractice? Select all that apply.

Perform interventions in a timely manner.3 Document assessments and procedures completed.5Know current nursing literature in their area of practice.

A client with severe preeclampsia is admitted to the maternity department. Which room assignment is most appropriate for this client?

Private room within sight of the nurses' station4

The nurse arrives at work and is told to report (float) to the pediatric unit for the day because the unit is understaffed and needs additional nurses to care for the clients. The nurse has never worked in the pediatric unit. Which is the appropriate nursing action?

Report to the pediatric unit and identify tasks that can be safely performed.

A licensed practical nurse (LPN) is collecting data on a child and notes the presence of old and new bruises on the child's back and legs. The LPN suspects physical abuse and reports the findings to the registered nurse knowing that which action is necessary?

Reporting the case to legal authorities2

A licensed practical nurse has decided to purchase disciplinary defense insurance and is aware that this type of insurance would provide which type of benefits? Select all that apply.

Representation by a qualified attorney2 Reimbursement for travel to the state board of nursing4 Payment of all legal fees for defense of a nursing license

The licensed practical nurse is considering leaving the nursing profession after caring for multiple clients who have been diagnosed with conditions that have poor outcomes. Which measures would most likely assist the nurse in relieving this distress? Select all that apply.

Share the frustrations at unit multidisciplinary meetings. Tell stories about the experiences with other professionals. Engage in ethics discussions with both nurses and other health care practitioners. Submit

A client has just been treated with cardioversion. The nurse should check which measure first?

Status of airway2

The nurse is assisting in caring for a client with a head injury who is restless and is pulling at the intravenous (IV) line. The client's primary health care provider does not want to sedate the client, and the family has requested that the client not be restrained. The nurse would implement which action?

Stay with the client and consult with the nurse manager about the situation.4

The home care nurse observes that an older male client is confined to his room by his daughter-in-law. When the nurse suggests that he walk to the den and join the family, he says, "I'm in everyone's way, and my son needs me to stay here." Which is the best nursing intervention for this situation?

Suggest appropriate resources such as respite care and a senior citizens' center to the client and daughter-in-law.

A nurse lawyer provides an education session to the nursing staff regarding client rights with emphasis on invasion of client rights. The nurse lawyer asks a staff nurse to identify a situation that represents an example of invasion of client privacy. Which situation, if identified by the student, indicates an understanding of a violation of this client right?

Taking photographs of the client without consent4

A nursing instructor asks a nursing student to identify situations that indicate a secondary level of prevention in health care. Which statement made by the student indicates a need for further study of the levels of prevention?

Teaching a stroke client how to use a walker3

The nurse witnesses an accident in which the victim was hit by a car. The nurse stops at the scene of the accident and administers safe care to a victim who sustained a compound fracture of the femur. The victim is hospitalized and later develops sepsis as a result of the fractured femur. The victim files suit against the nurse who provided care at the scene of the accident. Which accurately describes the nurse's immunity from this suit?

The Good Samaritan laws will protect the nurse if the care given at the scene was not willfully negligent.4

A resident in a long-term care facility refuses a medication that has been prescribed. The nurse takes appropriate action after considering which fact?

The client cannot be forced to take the medication.2

Which identifies accurate nursing documentation notations? Select all that apply.

The client slept through the night.2Abdominal wound dressing is dry and intact without drainage.3 The client's left lower medial leg wound is 3 cm in length without redness, drainage, or edema.

The nurse is aware that which criteria are necessary for a situation to be classified as malpractice? Select all that apply.

The client sustained an injury. The nurse owed a duty to the client. The nurse did not carry out a duty to a client. The client's injury was caused by the nurse's failure to carry out a duty.

The nurse just finished receiving the client assignment for the day. Which client would the nurse see first?

The client who is agitated following surgery2

A client who had a lung resection for cancer has been told that bone metastasis has occurred. The client is considering megavitamin and diet therapy because the original surgery did not provide a cure. The client asks the nurse for an opinion of these therapies. In formulating a response, the nurse incorporates which concepts?

The client's right to autonomy and the nurse's obligation to behave ethically4

The nurse is employed in a long-term care facility as a charge nurse of the night shift. The nurse determines that as a charge nurse, authority appropriately refers to which explanation?

The official power to approve an action, command an action, or to see that a decision is enforced

After pleading for information, a visitor learns from the nurse that his friend (the client) has died from human immunodeficiency virus (HIV). Inadvertently, the visitor informs the client's family about the client's HIV diagnosis. Which is the most serious potential consequence of possible damages caused by these events?

The state convicts the nurse for invasion of privacy.4

A client receives meperidine by the intramuscular route. Thirty minutes after receiving the medication, the client's temperature is 101° F, and the skin is warm and flushed with a notable rash on the chest and back. The nurse further assesses the client and contacts the registered nurse, who then contacts the primary health care provider. The nurse completes an incident report and accurately documents which?

Thirty minutes after receiving meperidine, the temperature is 101° F, skin is warm and flushed, and a rash is noted on the chest and back; the primary health care provider was notified.

A hospitalized client with type 1 diabetes mellitus received NPH and regular insulin 2 hours ago at 7:30 am. The client calls the nurse and reports that he is feeling hungry, shaky, and weak. The client ate breakfast at 8:00 and is due to eat lunch at noon. List in order of priority the actions that the nurse should take. Arrange the actions in the order that they should be performed. All options must be used.

1.Check the client's blood glucose level. 2.Give the client half a cup of fruit juice to drink. 3.Take the client's vital signs. 4.Retest the client's blood glucose level. 5.Give the client a small snack of carbohydrate and protein. 6.Document the client's complaints, the actions taken, and the outcome.

The nurse on the day shift receives client assignments for the day. Which assigned client would the nurse check first?

A client who was admitted during the night because of a severe exacerbation of asthma3

A client had a colon resection. A Salem tube was in place when a regular diet was brought into the client's room. The client did not want to eat solid food and asked that the primary health care provider be called. The nurse persisted in the belief that the solid food was the correct diet. The client ate two meals and subsequently had additional surgery due to complications. The nurse understands that the determination of negligence in this situation is based on what?

A duty existed and it was breached3

The nurse is newly employed in a health agency. The nurse is told that the decision-making process of the organization is based on a centralized structure. The nurse determines that this means that the authority to make decisions is vested in whom?

A few individuals such as the board of directors4

The nurse posted a comment on a social media site that was unflattering to another nurse. Which accusations can the second nurse bring against the first nurse? Select all that apply.

Libel2 Defamation5

The nurse observes that a client received pain medication 1 hour ago from another nurse, but the client still has severe pain. The nurse has previously observed this same occurrence several times. Based on the nurse practice act, the observing nurse would plan to take which action?

Report the information to a nursing supervisor.

The nurse suspects that a coworker is substance impaired and is self-administering opioid medications rather than administering them to clients as prescribed. Which action would the nurse take?

Report the information to a supervisor.3

The nurse is completing a medication reconciliation form for a client. Which is a primary purpose of this process?

To compare a client's medication prescriptions to all of the medications the client is taking at home

The primary health care provider writes a prescription for the nurse to obtain a consent for a colonoscopy. Which are the nurse's responsibilities to obtain an informed consent? Select all that apply.

To ensure the client is the age of consent3To ensure the client is signing voluntarily