Management of Care Exam latest update with 100% accurate solutions(verified by experts)

A nurse manager in a pediatric intensive care unit notices an increase in healthcare-associated infections. What should the nurse manager do next? A nurse is caring for a client with hyperemesis gravidarum who will need close monitoring at home. When should the nurse begin discharge planning? on admission to the facility Which activities would be most appropriate for the nurse to delegate to the unlicensed assistive personnel (UAP)? obtaining a client's routine glucose reading using a glucometer After being seen in the oncology clinic, a client with severe bone marrow suppression is admitted to the hospital. The client's cancer therapy consisted of radiation and chemotherapy. When developing the care plan for this client, the nurse prioritizes which nursing intervention? monitoring temperature and blood cell count The emergency room nurse is providing care to a client who admits to being a victim of domestic violence. Which statement by the client indicates to the nurse that the client will accept safe shelter living? Select all that apply. "A social worker can help me set up a place to stay." "I would like to get a restraining order from my partner." The two client statements, "A social worker can help me set up a place to stay" and "I would like to get a restraining order from my partner," indicate that the client is ready to change living conditions. If the client tells the partner the client is not coming home or accepts a house from the family then the client is not gaining independence. The statement that the client still needs a plan for the children does not indicate that the client is ready for a change in living conditions and independence. A student nurse is accompanying a community health nurse for the day. The RN asks the parents at the home visit if the student can be present for the breastfeeding assessment. The mother's partner declines this opportunity. What is the nurse's most appropriate response? The client and her partner are very distressed and state that they feel the nurse has been negligent in providing care during labor. What is the nurse's best defense against an accusation of negligence? The national standards of practice were met when providing care. The nurse is providing cost-effective, evidence-based care health education to a client. Which choices are examples of cost-effective, evidence-based care? Select all that apply. education on healthy dietary choices education on beginning an exercise regime The nurse observes two clients playing basketball during exercise activity. The clients are engaged in aggressive communication and begin to fight. Which nursing intervention is most appropriate? Remove the clients to separate areas and set limits A 4-year-old child is seen in the pediatrician's office. The child is due for immunizations and the provider discusses with the caregiver the need for the immunizations. The nurse returns to the room to administer the immunizations and the caregiver refuses to sign the paperwork for the administration of the immunizations. What is the most appropriate action by the nurse? The nurse listens to the caregiver's concerns and discusses the risks of nonimmunization. A client of a homecare nurse gives the nurse an envelope with a small amount of money in it, stating, "It's a tip for the good care you give me." Which statement would be the most appropriate response from the nurse? "I'm grateful that you're satisfied with the care you're recieving, but I can't accept any form of gift." A nurse manager of the pediatric unit discovers that she is overbudget on supplies. How could each nurse assigned to the unit help with cost containment? Use care pathways to specify care and identify daily outcomes. A nurse is counseling a client at a crisis center after the client's house burned down and the client's daughter was killed. Which action by the nurse is a priority? assisting in psychological resolution of the immediate crisis Which client is the most appropriate candidate for outpatient care? A client whose reports of irregular bowel movements have necessitated a colonoscopy. Which client will the community health nurse visit first? the client with type 1 diabetes mellitus with acute visual changes The nurse is teaching a client about the symptoms of anaphylaxis. Which client statements indicate no further teaching is needed? Select all that apply. "If I start having difficulty breathing, I need to get help right away." "Peripheral tingling is a symptom of anaphylaxis reaction." A nurse manager in a pediatric intensive care unit notices an increase in healthcare-associated infections. What should the nurse manager do next? Gather data on possible reasons for this increase. An unlicensed nursing personnel (UAP) recorded a client's 0600 blood glucose level as 126 mg/dL (7 mmol/L) instead of 216 mg/dL (12 mmol/L). The UAP did not recognize the error until 0900 but reported it to the nurse right away. What should the nurse do first? Call the health care provider (HCP). A client is scheduled for a laparoscopic cholecystectomy and is surprised to learn that they will be discharged later the same day, provided there are no complications. When caring for a client who will be discharged shortly after a procedure, the nurse must ensure that health education is begun as early as possible. The nurse meets with the family of a 3-year-old child who is seriously ill. What is the most important role of the nurse as collaborator? Coordinates the multidisciplinary services and provides information about them. A coworker asks another nurse if a client received their pathology report. The coworker is not directly involved in the care of the client. How should the nurse respond? Select all that apply. "You need to review the hospital policy related to client privacy." "I'm sorry, but I'm not at liberty to give you that information." "Information can only be shared if you're involved in the client's care."