NURS 6521
Week 4
Assignment:
Advanced
Pharmacolog
y Patient
,Case Studies
and
Management
Strategies
Scenario 1 to
4
,Which nursing task would be appropriate to delegate to an LPN/VN?
1. Obtain a wound culture from a client.
2. Administer regular insulin IV to a client in diabetic ketoacidosis.
3. Monitor a client's closed drainage unit (CDU) for tidaling.
4. Assess a client for tactile fremitus. - correct answers--1. Obtain a wound culture from
a client.
The nurse receives new healthcare provider prescriptions on a client diagnosed with
Addison's disease. Which prescriptions should the nurse recognize as being
inappropriately written and requiring clarification from the prescriber?
1. Weigh QD
2. IV of normal saline at 125 mL/hr
3. MRI of pituitary gland
4. Fludrocortisone acetate 0.1 mg by mouth T.I.W.
5. Dehydroepiandrosterone DHEA sulfate 5 mg by mouth every other day - correct
answers--1. Weigh QD
, 4. Fludrocortisone acetate 0.1 mg by mouth T.I.W.
(inappropriate abbreviations)
Which task would be appropriate for the nurse to delegate to an unlicensed assistive
personnel (UAP)?
1. Check client for signs of skin breakdown.
2. Check client's vital signs after ambulating.
3. Administer 8 ounces of polyethylene glycol electrolyte solution every 10 minutes.
4. Obtain a stool specimen.
5. Determine what activities the client can do independently. - correct answers--2.
Check client's vital signs after ambulating.
4. Obtain a stool specimen.
The nurse educator is teaching a group of nursing students about client advocacy. What
should the educator tell the students are the consequences of failure to act as a client
advocate?
1. Life-threatening complications for the client.
2. Legal action against the nurse and/or healthcare facility.
3. Suspension or loss of license to practice nursing.
4. Suspension or loss of license to practice medicine.
5. Loss of client autonomy and right to make decisions. - correct answers--1. Life-
threatening complications for the client.
2. Legal action against the nurse and/or healthcare facility.
3. Suspension or loss of license to practice nursing.
5. Loss of client autonomy and right to make decisions.
Family members have been asking triage nurses if loved ones were admitted to the
hospital during a national emergency situation with massive casualties. What response
should be made by the nurses?
1. Tell the family members that information about clients cannot be provided.
2. Ask for the victims' permission before talking with the family members.
3. Instruct the family to wait for public announcements about victims.
4. Inform them if their family members have been admitted. - correct answers--4. Inform
them if their family members have been admitted.
Which nursing action is likely to improve client satisfaction and demonstrate acts of
beneficence?
1. Allowing clients to make their own decisions about care
2. Answering all questions posed by client in an honest manner
3. Reporting faulty equipment to the proper departments
4. Sitting at the bedside and listening to an elderly client - correct answers--4. Sitting at
the bedside and listening to an elderly client
Week 4
Assignment:
Advanced
Pharmacolog
y Patient
,Case Studies
and
Management
Strategies
Scenario 1 to
4
,Which nursing task would be appropriate to delegate to an LPN/VN?
1. Obtain a wound culture from a client.
2. Administer regular insulin IV to a client in diabetic ketoacidosis.
3. Monitor a client's closed drainage unit (CDU) for tidaling.
4. Assess a client for tactile fremitus. - correct answers--1. Obtain a wound culture from
a client.
The nurse receives new healthcare provider prescriptions on a client diagnosed with
Addison's disease. Which prescriptions should the nurse recognize as being
inappropriately written and requiring clarification from the prescriber?
1. Weigh QD
2. IV of normal saline at 125 mL/hr
3. MRI of pituitary gland
4. Fludrocortisone acetate 0.1 mg by mouth T.I.W.
5. Dehydroepiandrosterone DHEA sulfate 5 mg by mouth every other day - correct
answers--1. Weigh QD
, 4. Fludrocortisone acetate 0.1 mg by mouth T.I.W.
(inappropriate abbreviations)
Which task would be appropriate for the nurse to delegate to an unlicensed assistive
personnel (UAP)?
1. Check client for signs of skin breakdown.
2. Check client's vital signs after ambulating.
3. Administer 8 ounces of polyethylene glycol electrolyte solution every 10 minutes.
4. Obtain a stool specimen.
5. Determine what activities the client can do independently. - correct answers--2.
Check client's vital signs after ambulating.
4. Obtain a stool specimen.
The nurse educator is teaching a group of nursing students about client advocacy. What
should the educator tell the students are the consequences of failure to act as a client
advocate?
1. Life-threatening complications for the client.
2. Legal action against the nurse and/or healthcare facility.
3. Suspension or loss of license to practice nursing.
4. Suspension or loss of license to practice medicine.
5. Loss of client autonomy and right to make decisions. - correct answers--1. Life-
threatening complications for the client.
2. Legal action against the nurse and/or healthcare facility.
3. Suspension or loss of license to practice nursing.
5. Loss of client autonomy and right to make decisions.
Family members have been asking triage nurses if loved ones were admitted to the
hospital during a national emergency situation with massive casualties. What response
should be made by the nurses?
1. Tell the family members that information about clients cannot be provided.
2. Ask for the victims' permission before talking with the family members.
3. Instruct the family to wait for public announcements about victims.
4. Inform them if their family members have been admitted. - correct answers--4. Inform
them if their family members have been admitted.
Which nursing action is likely to improve client satisfaction and demonstrate acts of
beneficence?
1. Allowing clients to make their own decisions about care
2. Answering all questions posed by client in an honest manner
3. Reporting faulty equipment to the proper departments
4. Sitting at the bedside and listening to an elderly client - correct answers--4. Sitting at
the bedside and listening to an elderly client
