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The nurse is reviewing medical prescription for the newly admitted
clients. It would be a PRIORITY for the nurse to flow up with the
physician if a client with - Answer: a K level of 4.0 and has kayexalate
prescribed
,The nurse should intervene if the nurse suspects a staff member -
Answer: Obtain a client consent prior to receiving Ativan
The community health nurse is caring for the following clients. It would
be a priority for the nurse to initiate a multidisciplinary conference for
the client who is - Answer: 17 years old, has DM type 1, unemployed,
and recent A1C is 13%
The Nurse from the postpartum unit has been temporarily assigned to a
med surg floor. It would be most appropriate to assign the nurse to the
client who - Answer: had surgery two hours ago, appendectomy
The nurse in a well baby clinic has assigned several children today. It
would be appropriate to suggest follow up for the child who is -
Answer: 18 months old and needs support to ambulate
The nurse is caring for a mechanically ventilated client who was
declared brain dead. An Advance Directive is not documented in the
medical record. It would be most appropriate to obtain consent for
organ donation from the - Answer: Clients closest family member
The nurse has received report on 4 clients, who should the nurse assess
first - Answer: been admitted with Guillian Barre syndrome and has
begun plasmapheresis therapy
, It would be appropriate to assign which of these task to the CNA -
Answer: one - on - one client observation for safety
The nurse should intervene is a staff member - Answer: discussing a
client's DX with visiting family member
The nurse is preparing a staff presentation on legal and ethical issues in
nursing. The nurse would be correct to include which of the following
examples. - Answer: Putting a client in a geriatric chair with the lap tray
in front of the client in the day room to watch TV... Example of false
imprisonment
The nurse from the pediatric unit has been temp assigned to the ED. It
would be most appropriate to assign the nurse to the client who -
Answer: Is HIV + reporting nausea and vomiting
Four clients recently returned to the unit following invasive diagnostic
testing. The nurse should immediately intervene if one of the clients: -
Answer: Is observed flexing and extending the legs two hours post
cardiac cath