Questions With Complete Solutions.
1. The registered nurse is caring for post op patient with abdominal
incision which actions could be delegated to the experience UAP? -
ANSWER ✔ Collect the vital signs and oxygen saturation.
2. A diabetic patient blood glucose reading is 48. Patient is confused
drowsy complaining of dizziness. Which intervention by the nurse
will Clinical judgement step in responding in judgment. - ANSWER
✔ Administer 1 mg of glucagon by order.
3. The nurse is providing pre-op operation, left lower lobectomy ( Left
lower lung removal). Which instructions are consistent with the
noticing step of tanners model of clinical subject - ANSWER ✔ 1.
How to use a incentive spirometer, reporting pain so it could be
address early.
4. Parents instruct there under age son's nurse to not provide any
information about his condition even though the son is begging for
information - ANSWER ✔ UAP personal care I&O, RN catheter
irrigation and meds
, 5. . The UAP reports a patients vital signs as bp 210/112 Hr 80, Res 12
Temp 98.4 Pulse ox99. The nurse enters the room observed and
calmly listening to music and reading the newspaper. What action will
the nurse demonstrate in tanners skilled? - ANSWER ✔ Manually
checking the patient bp
6. The UAP reports a BS of 30 to the Rn with a patient with diabetes
type 1. The Rn proceeds by obtaining a second glucose reading prior
to administering medication of glucagon injection per doctor. What
thinking skilled of tanners? - ANSWER ✔ Checking accuracy and
reliability
7. The nurse is using what thinking skill in tanners known best to ensure
that data gathering is complete in accurate? - ANSWER ✔ Assessing
systematically comprehensively
8. The nurse is caring for a patient 2 days after a partial left lung
lobectomy. The patient finally experiences severe difficulty breathing
and as extremely anxious. Which action will the nurse do first? -
ANSWER ✔ Perform a focus respiratory assessment
9. . A nurse is using a thinking skill of Tanners model in the noticing
step that requires the collection objective and subjective data. Which
nursing action will ensure the patient data is complete and accurate? -
ANSWER ✔ Gathers data from all sources available to the nurse.