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Exam (elaborations)

RN COMPREHENSIVE PREDICTOR QUESTION AND ANSWERS 2020/2021 GRADED A

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RN COMPREHENSIVE PREDICTOR QUESTION AND ANSWERS 2020/2021 GRADED A 1. An Lpn from a medical nursing unit has been temporarily assigned to a surgical unit. Which questions should the RN ask of the LPN to determine safe patient delegation? Select all that apply. Do you have any concerns about the care of the surgical patient? Do you want to be paired with an RN as a resource? Can you share with me your nursing experience and expertise? What type of supervision do you want from me? How would you describe your knowledge about care of the surgical patient? 2. A newly hired unlicensed assistive personnel (UAP) has some difficulty performing comfort measure for a patient at the end of life. What is the appropriate response by the RN? Indicate the next time the task is delegated will be easier. NO need to say anything, the UAP performed as expected. Inquire if the UAP is returning to work tomorrow. Ask the UAP to identify what went well and what did not. 3. A unit secretary who is pregnant asks the RN “Should I get the influenza vaccine? I do not provide care for patients. “Which statement indicates the RN understands Centers for DIsease Control and Prevention (CDC)guidelines? No, the vaccine is mandated for direct care health care providers. Yes, the vaccine reduces the possibility of getting ill and infecting others Yes, the health administrators made the vaccine mandatory for all staff. No, pregnant staff members should not receive the vaccine. 4. Which statement made by the RN to the Unlicensed Assistive Personnel (UAP) incorporates legal and ethical principles when delegating care? Review proper hand hygiene with MS. Q’s family in Room 25, if there are questions, let me know. Obtain the vital signs in Mr. Z in Room 22 now. If the pulse rate is irregular, notify me promptly. Assist Ms. R in Room 24 out of bed, If dizziness is reported, obtain a blood pressure. Place oxygen on Mr. C in Room 21, if chest pain is reported. Obtain vital signs and notify me. 5. The Rn is caring for a client who is having a bedside procedure. The health care provider verbally tells the RN: “Give 4mg of morphine sulfate intravenously to the client now.” Based on TEAMSTEPS, what is the RN response? Do you want the client to receive morphine now? The medication was administered as ordered Are you sure you want the amount of morphine to be given. 4mg of morphine sulfate intravenously to be given now. 6. An unlicensed assistive personnel (UAP) reports to the RN that a patient with chronic obstructive pulmonary disease (COPD) and respiratory failure could not be aroused when vital signs were taken. What is the most appropriate response by the RN? Were the vital signs similar to the last ones recorded? IS the patient still receiving oxygen therapy? THe patient is finally getting much needed rest. I will go assess the patient now. 7. An RN caring for a pregnant woman in labor states to the obstetrician “The fetal heart rate is 80 beats per minute. “The obstetrician replies “Yes, thanks. What is an appropriate initial response by the RN? The fetal heart rate is 80 I will continue to monitor and report the findings We need to notify the surgical team now. The baby seems to be in distress

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Uploaded on
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