When triaging emergency room clients, which client should the nurse assess first?
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A female client with severe right lower abdominal pain who is febrile and
vomiting.
The charge nurse, working with one nurse, two practical nurses (PNs), a unit secretary,
and two unlicensed assistive personnel (UAPs), is caring for 24 clients on a medical
surgical unit. Which task is best for the charge nurse to assign to the PN?
Give this one a try later!
The insertion of a Foley catheter for a client diagnosed with septicemia.
,An older client who had a hernia repair 12 hours ago suddenly becomes agitated,
pulls out the intravenous (IV) catheter, and staggers out into the corridor, demanding
to be set free. The nurse assists the client back to bed and re-establishes the IV
access. Which intervention is most important for the nurse to implement prior to
leaving the client's room?
Give this one a try later!
Determine if the client is manifesting other neurologic changes.
Several family members are visiting a client who had a myocardial infarction 4 days
ago. The unlicensed assistive personnel (UAP) informs the nurse that one of the
visitors is lying on the client's bed. Which action should the nurse implement?
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Instruct the UAP to ask the visitor to get off the client's bed.
A fire is reported in the kitchen on the first floor of a three-floor community hospital,
and the operator notifies the charge nurse on the third floor to start evacuation
procedures. Which intervention should the charge nurse implement?
Give this one a try later!
Instruct the nursing staff to evacuate ambulatory clients to the nearest fire
exits.
, A newly hired unlicensed assistive personnel (UAP) expresses fear to the charge nurse
about collecting a sputum specimen from a client who is HIV positive. Which action
should the charge nurse take first?
Give this one a try later!
Determine the UAP's knowledge about HIV transmission.
Which staff assignment, made by the primary nurse, requires the most immediate
follow-up action by the charge nurse on a medical unit?
Give this one a try later!
An unlicensed assistive personnel (UAP) is assigned to check a client for
fecal impaction.
Four clients are scheduled to receive IV infusions, but there are only three intravenous
(IV) pumps available. Which prescribed infusion can most safely be administered
without an IV infusion pump?
Give this one a try later!
Ceftriaxone in 5% Dextrose in Water prescribed for pneumonia.
It is most important for the charge nurse to schedule a multi-disciplinary team
meeting to discuss which client?
Give this one a try later!
Give this one a try later!
A female client with severe right lower abdominal pain who is febrile and
vomiting.
The charge nurse, working with one nurse, two practical nurses (PNs), a unit secretary,
and two unlicensed assistive personnel (UAPs), is caring for 24 clients on a medical
surgical unit. Which task is best for the charge nurse to assign to the PN?
Give this one a try later!
The insertion of a Foley catheter for a client diagnosed with septicemia.
,An older client who had a hernia repair 12 hours ago suddenly becomes agitated,
pulls out the intravenous (IV) catheter, and staggers out into the corridor, demanding
to be set free. The nurse assists the client back to bed and re-establishes the IV
access. Which intervention is most important for the nurse to implement prior to
leaving the client's room?
Give this one a try later!
Determine if the client is manifesting other neurologic changes.
Several family members are visiting a client who had a myocardial infarction 4 days
ago. The unlicensed assistive personnel (UAP) informs the nurse that one of the
visitors is lying on the client's bed. Which action should the nurse implement?
Give this one a try later!
Instruct the UAP to ask the visitor to get off the client's bed.
A fire is reported in the kitchen on the first floor of a three-floor community hospital,
and the operator notifies the charge nurse on the third floor to start evacuation
procedures. Which intervention should the charge nurse implement?
Give this one a try later!
Instruct the nursing staff to evacuate ambulatory clients to the nearest fire
exits.
, A newly hired unlicensed assistive personnel (UAP) expresses fear to the charge nurse
about collecting a sputum specimen from a client who is HIV positive. Which action
should the charge nurse take first?
Give this one a try later!
Determine the UAP's knowledge about HIV transmission.
Which staff assignment, made by the primary nurse, requires the most immediate
follow-up action by the charge nurse on a medical unit?
Give this one a try later!
An unlicensed assistive personnel (UAP) is assigned to check a client for
fecal impaction.
Four clients are scheduled to receive IV infusions, but there are only three intravenous
(IV) pumps available. Which prescribed infusion can most safely be administered
without an IV infusion pump?
Give this one a try later!
Ceftriaxone in 5% Dextrose in Water prescribed for pneumonia.
It is most important for the charge nurse to schedule a multi-disciplinary team
meeting to discuss which client?
Give this one a try later!
