capstone final study
Finding a client sitting on the floor, nurse calls for help from UAP - ANS>>get BP cuff
II II II II II II II II II II II II II II II II
Assigning a UAP to assist client with personal care - ANS>>prescribed activity level
II II II II II II II II II II II II
The ICU is full and short staffed, so nursing super informs charge nurse in the med dept that one
II II II II II II II II II II II II II II II II II II
nurse must float to the ICU - ANS>>staff who was cross trained to work in the critical care dept
II II II II II II II II II II II II II II II II II II II
Charge nurse developing guidelines for a coronary care unit - ANS>>The scope of standards of
II II II II II II II II II II II II II II
practice from the American nurses association
II II II II II II
Which patient should be assigned to a nurse that is floated from maternity unit - ANS>>post op
II II II II II II II II II II II II II II II II
hysterectomy
II
There has been a major disaster. Triage nurse should give which patient priority - ANS>>Cut over
II II II II II II II II II II II II II II II
eye
II
Delegate to LPN - ANS>>Dressing change II II II II II
Move which patient to medical surgical unit - ANS>>Patient with ABNL liver levels
II II II II II II II II II II II II
One open bed in ICU but reserved for patient coming from PACU with respiratory problems, what
II II II II II II II II II II II II II II II
to do - ANS>>Take patient to ICU and arrange for respiratory patient to stay in PACU
II II II II II II II II II II II II II II II II
UAP giving complete bath-which patient is more concern - ANS>>Patient with dyspnea (SOB
II II II II II II II II II II II II
when lying flat)
II II II
,capstone final study
ER nurse getting moved to L&D, what patient should leader assign - ANS>>Patient with
II II II II II II II II II II II II II
episiotomy infection
II II
DNR - ANS>>Notify the family
II II II II
Against medical Advice (AMA)with and IV - ANS>>RN removes IV, sign the document AMA form
II II II II II II II II II II II II II II
Prescriptions-telephone - ANS>>repeat order back to doctor to make sure it is correct II II II II II II II II II II II II
Assign UAP - ANS>>hygiene, feeding, ADLS, ROM, ambulation
II II II II II II II
Confidentiality-emergency department - ANS>>don't give out information about patient, don't II II II II II II II II II
talk about patients condition in front of people, keep records safe
II II II II II II II II II II II
Malpractice - ANS>>negligence by professional personnel II II II II II
Ex: buring client with hot heating pad, ignoring s/s of bleeding, giving wrong medication
II II II II II II II II II II II II II
Patient bill of rights - ANS>>show pt there bill of rights, they have the right to see their chart and
II II II II II II II II II II II II II II II II II II II
anything regarding their care
II II II II
Assign PN-scope of practice - ANS>>No assessments, teaching (newly DX'd), IV's, blood
II II II II II II II II II II II
transfusions, no suicide patients, no critical patients
II II II II II II II
Assignments-new grad - ANS>>graduate nurse supervised by RN, what pt to give? Infusing II II II II II II II II II II II II
antibiotic or choosing catheter port
II II II II II
Unsafe nurse - ANS>>after nurse goes through rehab she can do her job regularly
II II II II II II II II II II II II II
, capstone final study
Brain death-organ donation - ANS>>if person is organ donor and is brain dead, organs can be
II II II II II II II II II II II II II II II
donated
II
Critical lab value - ANS>>high levels or low levels (know levels) potassium is a priority lab value
II II II II II II II II II II II II II II II II
Fibromyalgia assistance - ANS>>provide uninterrupted sleep and refer to pain specialist
II II II II II II II II II II
RN role-assess - ANS>>RN's assess not LPN or UAP
II II II II II II II II
Med error- action - ANS>>assess pt, incident report, notify doctor, document amt prescribed, and
II II II II II II II II II II II II II
dosage given
II II
MRSA room assigned - ANS>>private room, contact isolation
II II II II II II II
Restraints - ANS>>standards of care II II II II
Cultural - ANS>>Native American POC II II II II
Know rules for Immunization permission
II II II II
Priority care - ANS>>Management II II II
Ethical - ANS>>Assign least care to UAP
II II II II II II
Consent to treat - ANS>>without consent II II II II II
Finding a client sitting on the floor, nurse calls for help from UAP - ANS>>get BP cuff
II II II II II II II II II II II II II II II II
Assigning a UAP to assist client with personal care - ANS>>prescribed activity level
II II II II II II II II II II II II
The ICU is full and short staffed, so nursing super informs charge nurse in the med dept that one
II II II II II II II II II II II II II II II II II II
nurse must float to the ICU - ANS>>staff who was cross trained to work in the critical care dept
II II II II II II II II II II II II II II II II II II II
Charge nurse developing guidelines for a coronary care unit - ANS>>The scope of standards of
II II II II II II II II II II II II II II
practice from the American nurses association
II II II II II II
Which patient should be assigned to a nurse that is floated from maternity unit - ANS>>post op
II II II II II II II II II II II II II II II II
hysterectomy
II
There has been a major disaster. Triage nurse should give which patient priority - ANS>>Cut over
II II II II II II II II II II II II II II II
eye
II
Delegate to LPN - ANS>>Dressing change II II II II II
Move which patient to medical surgical unit - ANS>>Patient with ABNL liver levels
II II II II II II II II II II II II
One open bed in ICU but reserved for patient coming from PACU with respiratory problems, what
II II II II II II II II II II II II II II II
to do - ANS>>Take patient to ICU and arrange for respiratory patient to stay in PACU
II II II II II II II II II II II II II II II II
UAP giving complete bath-which patient is more concern - ANS>>Patient with dyspnea (SOB
II II II II II II II II II II II II
when lying flat)
II II II
,capstone final study
ER nurse getting moved to L&D, what patient should leader assign - ANS>>Patient with
II II II II II II II II II II II II II
episiotomy infection
II II
DNR - ANS>>Notify the family
II II II II
Against medical Advice (AMA)with and IV - ANS>>RN removes IV, sign the document AMA form
II II II II II II II II II II II II II II
Prescriptions-telephone - ANS>>repeat order back to doctor to make sure it is correct II II II II II II II II II II II II
Assign UAP - ANS>>hygiene, feeding, ADLS, ROM, ambulation
II II II II II II II
Confidentiality-emergency department - ANS>>don't give out information about patient, don't II II II II II II II II II
talk about patients condition in front of people, keep records safe
II II II II II II II II II II II
Malpractice - ANS>>negligence by professional personnel II II II II II
Ex: buring client with hot heating pad, ignoring s/s of bleeding, giving wrong medication
II II II II II II II II II II II II II
Patient bill of rights - ANS>>show pt there bill of rights, they have the right to see their chart and
II II II II II II II II II II II II II II II II II II II
anything regarding their care
II II II II
Assign PN-scope of practice - ANS>>No assessments, teaching (newly DX'd), IV's, blood
II II II II II II II II II II II
transfusions, no suicide patients, no critical patients
II II II II II II II
Assignments-new grad - ANS>>graduate nurse supervised by RN, what pt to give? Infusing II II II II II II II II II II II II
antibiotic or choosing catheter port
II II II II II
Unsafe nurse - ANS>>after nurse goes through rehab she can do her job regularly
II II II II II II II II II II II II II
, capstone final study
Brain death-organ donation - ANS>>if person is organ donor and is brain dead, organs can be
II II II II II II II II II II II II II II II
donated
II
Critical lab value - ANS>>high levels or low levels (know levels) potassium is a priority lab value
II II II II II II II II II II II II II II II II
Fibromyalgia assistance - ANS>>provide uninterrupted sleep and refer to pain specialist
II II II II II II II II II II
RN role-assess - ANS>>RN's assess not LPN or UAP
II II II II II II II II
Med error- action - ANS>>assess pt, incident report, notify doctor, document amt prescribed, and
II II II II II II II II II II II II II
dosage given
II II
MRSA room assigned - ANS>>private room, contact isolation
II II II II II II II
Restraints - ANS>>standards of care II II II II
Cultural - ANS>>Native American POC II II II II
Know rules for Immunization permission
II II II II
Priority care - ANS>>Management II II II
Ethical - ANS>>Assign least care to UAP
II II II II II II
Consent to treat - ANS>>without consent II II II II II
