Exam 4 Review Latest 2O24 Questions And Answers

The nurse hears a client calling out for help, hurries down the hallway to the client's room, and finds the client lying on the floor. The nurse performs an assessment, assists the client back to bed, notifies the health care provider of the incident, and completes an incident report. Which statement should the nurse document on the incident report? 1. The client fell out of bed. 2. The client climbed over the side rails. 3. The client was found lying on the floor. 4. The client became restless and tried to get out of bed. - ANS 3 A client is brought to the emergency department by the EMS after being hit by a car. The name of the client is unknown, and the client has sustained a sever head injury and multiple fractures and is unconscious. An emergency craniotomy is required. Regarding informed consent for the surgical procedure, what is the best action? 1. obtain a court order for the surgical procedure 2. ask the EMS team to sign the informed consent 3. transport the victim to the operating room for surgery 4. call the police to identify the client and locate the familt - ANS 3 The nurse arrives at work and is told to report (float) to the intensive care unit (ICU) for the day because the ICU is understaffed and needs additional nurses to care for the clients. The nurse has never worked in the ICU. The nurse should take which action first? 1. Call the hospital lawyer. 2. Refuse to float to the ICU. 3. Call the nursing supervisor. 4. Identify tasks that can be performed safely in the ICU. - ANS 4 The nurse who works on the nightshift enters the medication room and finds a coworker with a tourniquet wrapped around her arm. The coworker is about to insert a needle attached to a syringe containing clear liquid, in the antecubital area. Which is the most appropriate action by the n