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, There has been a community disaster and stable clients must be discharged from a facility to prepare for
the influx of new casualties. A nurse should identify that which of the following clients is safe to
discharge? - correct ans:a client who has multiple sclerosis and reports ataxia
A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the
following clients is the priority? - correct ans:A client who has peripheral vascular disease and has an
absent pulse in the right foot
A nurse finds that a new IV pump has infused 400 mL of solution over 2 hr when the rate was set at 100
mL/hr. After notifying the provider and verifying that the pump was properly programmed, which of the
following is the nurse's priority? - correct ans:Tag the pump for maintenance and acquire a new pump
for the client
A charge nurse is planning care for a group of clients. Which of the following tasks should be delegated
to an assistive personnel (AP)? select all that apply - correct ans:ambulating a client who uses a walker,
adding thickener to thin liquids on a client's food tray
A nurse is caring for a client. Which of the following tasks should the nurse delegate to an assistive
personnel (AP)? select all that apply - correct ans:Place an absorbent pad on the client's bed, report the
client's blood pressure to the nurse, apply barrier cream to the client's buttocks, document the client's
vital signs
A charge nurse on a maternal newborn unit is receiving change of shift charge nurse report for a group
of newborns. Which of the following 3 newborns should the charge nurse identify as requiring priority
care? Select 3 newborns the charge nurse should identify as priority. - correct ans:Newborn 5, Newborn
3, Newborn 1
A nurse manager is assessing incident reports for the unit. Which of the following client's medical
records indicate professional negligence? Select 2 clients that the nurse manager should recognize have
charts that indicate professional negligence. - correct ans:Client 4, Client 5
A charge nurse is assisting with the care of a client. Which of the following findings should the charge
nurse identify that the client is experiencing an adverse reaction and requires notification of provider
and updating the client's plan of care? Select 6 findings that indicate that client is having an adverse
reaction. - correct ans:blood pressure, temperature, heart rate, respiratory rate, pain level, report by the
client