A nurse enters a client's room and discovers a small fire in a trash can. Which of the following
actions should the nurse take first?
Move the client out of the room.
A nurse is preparing to teach the health care team about the concept of critical pathways.
Which of the following statements about the purpose of a critical pathway should the nurse
plan to include?
"A critical pathway is a multidisciplinary tool that guides client care and bases outcomes on an
externally imposed time line."
A nurse in a pediatric unit is assisting with preparing a list of clients for potential discharge to
home due to a local incident involving multiple children. Which of the following clients should
the nurse place on the potential discharge list? (Select all that apply.)
A preschooler who has asthma and has scattered wheezes that resolve with PRN use of
albuterol
A school-age child who has a femur fracture in an external fixation device and whose pain is
controlled with PRN oral codeine
An adolescent client who is developmentally delayed, has a PICC line, and needs 6 more weeks
of antibiotics
A nurse is caring for a client who has breast cancer and is to have a mastectomy. The client tells
the nurse she is concerned about how her partner will react to the procedure. Which of the
following responses should the nurse make?
, "Would you like me to have a member of a breast cancer support group visits with you?"
A nurse is administering medications to a client who is recovering from a stroke and has right-
sided paralysis. The nurse places the client's medications on the left side of his mouth and
administers the pills one at a time. Which of the following ethical principles is the nurse
displaying?
Nonmaleficence
A nurse is assisting with the preoperative preparation of a client who is scheduled for surgery.
Which of the following tasks can the nurse delegate to an assistive personnel (AP)?
Assist with placing the client onto the stretcher for transport to the surgical suite.
A school nurse is assisting with the care of a child who has multiple bruises to his trunk and
extremities. The child reports he fell out of a tree 2 days ago. The nurse's clinical findings show
patterns of bruising not typically sustained during a fall from a tree. Which of the following
actions should the nurse take?
Report the findings to local police and social service agencies.
While caring for a client, a nurse notices that the client's call light cord is frayed. Which of the
following actions should the nurse take?
Replace the call light and send the frayed one to the repair department.