A nurse is teaching a newly licensed nurse about actions to take to ensure the
confidentiality of a client's computerized medical record. Which of the following
instructions should the nurse include?
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"Do not allow others to see client information on your computer screen."
A nurse in an emergency department is caring for a client who has a compression
fracture of a spinal vertebra that requires surgery. The client has received morphine
for pain, and the nurse is unable to contact the client's family. Which of the following
actions should the nurse expect the neurosurgeon to take?
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, Invoking implied consent
The unit secretary is transcribing a healthcare provider's written order and asks the
nurse to interpret an illegible phrase. Which of the following is the most appropriate
action by the nurse in response?
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Clarify the order by calling the healthcare provider
A charge nurse is delegating tasks to a licensed practical nurse (LPN). Which of the
following tasks should the charge nurse delegate to the LPN? (Select all that apply.)
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Obtain vital signs from a client who is 6 hr postoperative.
Administer a tap-water enema to a client who is preoperative.
Catheterize a client who has not voided in 6 hr.
A nurse on a mental health unit is assigning tasks to an unlicensed assistive personnel
(UAP). Which of the following tasks should the nurse assign to the AP? (Select all that
apply.)
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, Accompany a client who has depression to individual therapy.
Check the position of a client in soft wrist restraints.
Sit with a newly admitted client who has alcohol use disorder.
A nurse is planning to delegate tasks to a licensed practical nurse (LPN). Which of the
following tasks should the nurse assign to the LPN?
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Change the negative pressure wound therapy dressing on a client's chronic
wound
A charge nurse in the intensive care unit is assigning clients. Which of the following
clients should be assigned to the most experienced nurse?
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A. A client with a potassium level of 6.0 mEq/L who has peaked T waves
A charge nurse is teaching a newly licensed nurse about the quality improvement
process in the acute care setting. The charge nurse should include which of the
following in the teaching?
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, Employees at all levels of the organization should be involved in quality
improvement
A nurse is caring for a client who becomes unresponsive and develops asystole. The
family has previously requested that the client not be resuscitated. However, there is
not a do-not-resuscitate (DNR) order from the provider in the client's chart. Which of
the following actions should the nurse take?
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Call the emergency response team.
A nurse is obtaining informed consent from a client who is scheduled for a surgical
procedure. Which of the following actions should the nurse take? (Select all that
apply.)
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Validate the signature is authentic.
Verify the client's understanding of the surgical procedure.
Confirm that the consent is voluntary.
A nurse is planning discharge for a client who has cirrhosis and experienced ascites
and esophageal varices during hospitalization. The nurse should collaborate with
which of the following members of the interdisciplinary team to perform specialized
care for this client?
confidentiality of a client's computerized medical record. Which of the following
instructions should the nurse include?
Give this one a try later!
"Do not allow others to see client information on your computer screen."
A nurse in an emergency department is caring for a client who has a compression
fracture of a spinal vertebra that requires surgery. The client has received morphine
for pain, and the nurse is unable to contact the client's family. Which of the following
actions should the nurse expect the neurosurgeon to take?
Give this one a try later!
, Invoking implied consent
The unit secretary is transcribing a healthcare provider's written order and asks the
nurse to interpret an illegible phrase. Which of the following is the most appropriate
action by the nurse in response?
Give this one a try later!
Clarify the order by calling the healthcare provider
A charge nurse is delegating tasks to a licensed practical nurse (LPN). Which of the
following tasks should the charge nurse delegate to the LPN? (Select all that apply.)
Give this one a try later!
Obtain vital signs from a client who is 6 hr postoperative.
Administer a tap-water enema to a client who is preoperative.
Catheterize a client who has not voided in 6 hr.
A nurse on a mental health unit is assigning tasks to an unlicensed assistive personnel
(UAP). Which of the following tasks should the nurse assign to the AP? (Select all that
apply.)
Give this one a try later!
, Accompany a client who has depression to individual therapy.
Check the position of a client in soft wrist restraints.
Sit with a newly admitted client who has alcohol use disorder.
A nurse is planning to delegate tasks to a licensed practical nurse (LPN). Which of the
following tasks should the nurse assign to the LPN?
Give this one a try later!
Change the negative pressure wound therapy dressing on a client's chronic
wound
A charge nurse in the intensive care unit is assigning clients. Which of the following
clients should be assigned to the most experienced nurse?
Give this one a try later!
A. A client with a potassium level of 6.0 mEq/L who has peaked T waves
A charge nurse is teaching a newly licensed nurse about the quality improvement
process in the acute care setting. The charge nurse should include which of the
following in the teaching?
Give this one a try later!
, Employees at all levels of the organization should be involved in quality
improvement
A nurse is caring for a client who becomes unresponsive and develops asystole. The
family has previously requested that the client not be resuscitated. However, there is
not a do-not-resuscitate (DNR) order from the provider in the client's chart. Which of
the following actions should the nurse take?
Give this one a try later!
Call the emergency response team.
A nurse is obtaining informed consent from a client who is scheduled for a surgical
procedure. Which of the following actions should the nurse take? (Select all that
apply.)
Give this one a try later!
Validate the signature is authentic.
Verify the client's understanding of the surgical procedure.
Confirm that the consent is voluntary.
A nurse is planning discharge for a client who has cirrhosis and experienced ascites
and esophageal varices during hospitalization. The nurse should collaborate with
which of the following members of the interdisciplinary team to perform specialized
care for this client?
