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a school nurse is assessing a child who has multiple bruises to the
trunk and extremities. the child reports he fell out of a tree 2 days
ago. the nurse's assessment findings show patterns of bruising not
typically sustained during a fall from a tree. which of the
following actions should the nurse take?
Answers: report the findings to local police and social service
agencies
a nurse is planning care for a client following a coronary arterial
bypass graft procedure. the nurse places a referral for a case
manager to visit with the client. which of the following information
should the nurse provide the client about the role of a case
manager?
Answers: "the case manager will coordinate and plan your care
while you recover from your surgery."
,a nurse is planning care for a client who is newly admitted to the
medical unit. which of the
following health care team members should the nurse plan to
consult with regarding the benefit of chest physiotherapy for this
client?
Answers: respiratory therapist
a nurse is caring for a client who asks if the client in the next room is
in pain because she cries out frequently. which of the following
statements should the nurse make?
Answers: "Does the crying out bother you?"
a new nurse manager on a busy oncology unit keeps her office
door closed when she is in the office, and does not offer to help
resolve daily staffing issues. which of the following types of
leadership behavior is the nurse manager displaying?
Answers: Laissez-faire
a 13 yr old female adolescent tells the charge nurse in the pediatric
unit that she does not want a male nurse assigned to care for her.
which of the following responses should the nurse make?
Answers: "I'll change the assignment so a female nurse is caring for
you today."
, a nurse suspects that a co-worker is coming to work under the
influence of alcohol. which of the
following behaviors in the workplace should the nurse recognize
are consistent with substance use disorder?
Answers:
-extended lunch periods and breaks
-calling in sick frequently on mondays or fridays
-decrease in concern about personal appearance and grooming
-excessive use of cologne or mouthwash
a nurse is planning care for a client who has aphasia following a
stroke. which of the following actions should the nurse plan to
take?
Answers: offer pictures the client can point to as an alternative
form of communication
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?
Answers: move the client out of the room
a nurse enters the room of an older adult client and finds him
attempting to crawl over the side rail. which of the following
actions should the nurse take?
Answers: ask an assistive personnel to sit with the client
, a nurse receives the morning change-of-shift report and delegates
several tasks to an AP on the team. which of the following tasks
should the nurse instruct the AP to perform first?
Answers: obtain the morning capillary blood glucose tests
a nurse manager notes that a full-time nurse has been absent from
work six times over the last 6 weeks. to take a non-punitive
approach, which of the following actions should the nurse manager
take?
Answers: verbally remind the employee about the facility's
employment standards
a nurse is participating in an ethics committee meeting about a
client who has a history of alcohol use disorder and is in need of a
liver transplant. which of the following actions should the
committee take first?
Answers: collect information related to the issue
a nurse is participating on a facility committee charged with
developing and implementing new documentation forms. the
nurse should recognize which of the following factors as a
potential restraining force for implementing this change?
Answers: staff resistance to learning new forms for documentation