A nurse is assisting with the selection of clients to discharge to make
beds available following atornado in the community. Which of the
following clients should the nurse recommend for discharge?
• A client who is recovering from a laparoscopic appendectomy
that was performed 24 hrago
A client who had an appendectomy without complications is often
discharged the day of
or the day after surgery. The nurse should recommend this client for
discharge becausethis client has a low risk for an adverse event.
A nurse is assisting with triage following a mass casualty event. The
nurse should recommend that which of the following clients be
attended to first?
• A client who has a crush injury to the pelvis and whose pedal
pulse in the right foot isabsent
A client who has a pelvic crush injury and an absent pulse to the
lower extremity has an
immediate threat to life and limb and requires emergent care for
survival. When usingthe survival approach to client care, the nurse
should give priority to this client.
A nurse is contributing to the plan of care for a client who states he
is a devout Hindu. To adhere to the client’s religious dietary
practices, which of the following food options should the nurse
offer to the client?
• Yogurt
The nurse should offer yogurt as a food option for the client who is a
devout Hindubecause dairy products are believed to enhance
, spiritual purity.
A nurse assisting with disaster triage is examining a client who has a
large open wouldto the lower extremity. Which of the following
actions should the nurse take?
• Tell the client she should receive treatment within 2 hr.
When performing disaster triage, the nurse should assign clients
who have a large, open wound to the yellow, or urgent category.
This is the second-priority client category,and clients who are in
this category should receive treatment after the emergent
group,but within 30 min to 2 hr.
A nurse is verifying informed consent with a client who is scheduled
to have a total open abdominal hysterectomy with bilateral
salpingo oophorectomy for the treatment of uterine cancer. The
nurse should notify the provider for which of the following client
statements?
• "I wish I knew if there was another way to treat this other than
surgery."
The nurse should contact the provider to clarify the procedure and
other options with the client. It is the provider's responsibility to
inform the client of any other treatment options.
A nurse is planning to delegate care for a group of clients following
change-of-shift report. Which of the following tasks should the
nurse plan to assign to an assistive personnel (AP)?
• Applying bilateral sequential compression devices to a client's
legs
The nurse should delegate applying sequential compression devices
to an AP because this skill is used routinely in client care, creates
minimal safety risk for the client, and iswithin the range of function
for an AP.
beds available following atornado in the community. Which of the
following clients should the nurse recommend for discharge?
• A client who is recovering from a laparoscopic appendectomy
that was performed 24 hrago
A client who had an appendectomy without complications is often
discharged the day of
or the day after surgery. The nurse should recommend this client for
discharge becausethis client has a low risk for an adverse event.
A nurse is assisting with triage following a mass casualty event. The
nurse should recommend that which of the following clients be
attended to first?
• A client who has a crush injury to the pelvis and whose pedal
pulse in the right foot isabsent
A client who has a pelvic crush injury and an absent pulse to the
lower extremity has an
immediate threat to life and limb and requires emergent care for
survival. When usingthe survival approach to client care, the nurse
should give priority to this client.
A nurse is contributing to the plan of care for a client who states he
is a devout Hindu. To adhere to the client’s religious dietary
practices, which of the following food options should the nurse
offer to the client?
• Yogurt
The nurse should offer yogurt as a food option for the client who is a
devout Hindubecause dairy products are believed to enhance
, spiritual purity.
A nurse assisting with disaster triage is examining a client who has a
large open wouldto the lower extremity. Which of the following
actions should the nurse take?
• Tell the client she should receive treatment within 2 hr.
When performing disaster triage, the nurse should assign clients
who have a large, open wound to the yellow, or urgent category.
This is the second-priority client category,and clients who are in
this category should receive treatment after the emergent
group,but within 30 min to 2 hr.
A nurse is verifying informed consent with a client who is scheduled
to have a total open abdominal hysterectomy with bilateral
salpingo oophorectomy for the treatment of uterine cancer. The
nurse should notify the provider for which of the following client
statements?
• "I wish I knew if there was another way to treat this other than
surgery."
The nurse should contact the provider to clarify the procedure and
other options with the client. It is the provider's responsibility to
inform the client of any other treatment options.
A nurse is planning to delegate care for a group of clients following
change-of-shift report. Which of the following tasks should the
nurse plan to assign to an assistive personnel (AP)?
• Applying bilateral sequential compression devices to a client's
legs
The nurse should delegate applying sequential compression devices
to an AP because this skill is used routinely in client care, creates
minimal safety risk for the client, and iswithin the range of function
for an AP.
