NCLEX REVIEW - MANAGEMENT OF CARE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

NCLEX REVIEW - MANAGEMENT OF
CARE QUESTIONS AND ANSWERS
WITH SOLUTIONS 2024
AAclientAisAbeingApreppedAforAaAsurgicalAprocedureAandAtheAnurseAisAreviewingAtheAinformedAconsentAwith
AtheAclient.ATheAclientAasks,A"IsAthereAanyAotherAwayAtoAtakeAcareAofAthisAwithoutAhavingAsurgery?"ATheAnu

rseAhasAaAdutyAtoAfirst:



1)AReassureAtheAclientAthatAtheAsurgeryAisAtheAbestAtreatmentAoption



2)ATellAtheAclientAifAtheyAdon'tAwantAtheAsurgery,AtheyAdon'tAhaveAtoAhaveAit



3)ANotifyAtheAsurgeonAthatAtheAclientAhasAadditionalAquestionsAaboutAalternativesAtoAsurgery



4)ACallAtheAsurgeonAandAcancelAtheAsurgeryAuntilAtheAconsentAformAisAsignedA-AANSWERA3



Rationale:

TheAclientAhasAaArightAtoAanAexplanationAofAtheAtreatmentAandAitsAexpectedAresults,AanticipatedArisksAandA
benefits,ApossibleAalternativeAtreatmentAoptionsAandAallAquestionsAansweredAbeforeAaAconsentAformAisAsig
ned.ARemember,AtheAclientAisAnotAaskingAyouAforAyourAopinion.ATheAclientAisAaskingAaboutAalternativeAtrea
tmentsAforAtheAcondition.ANotifyAtheAappropriateAhealthAcareAproviderAifAtheAclientAneedsAadditionalAinfor
mationAthatAyouAcannotAanswer.AOnceAtheAclientAhasAallAtheAnecessaryAinformationAthenAtheyAcanAdecideA
notAtoAsignAtheAinformedAcontentAandAcancelAtheAsurgery.



AAnurseAisAnamedAinAaAlawsuit.AWhichAofAtheseAfactorsAwillAofferAtheAbestAprotectionAforAthatAnurseAinAaAc
ourtAofAlaw?



1)AClinicalAspecialtyAcertificationAbyAanAaccreditedAorganization



2)ACompleteAandAaccurateAdocumentationAofAassessmentsAandAinterventions



3)AAbove-averageAperformanceAreviewsApreparedAbyAnurseAmanager

,4)ASwornAstatementAthatAhealthAcareAproviderAordersAwereAfollowedA-AANSWERA2



Rationale:

TheAmedicalArecordAisAaAlegalAdocument.ADocumentationAshouldAincludeAallAstepsAofAtheAnursingAprocess;A
itAmustAbeAcomplete,Aaccurate,AconciseAandAinAchronologicalAorder.AInaccurateAorAincompleteAdocumenta
tionAwillAraiseAredAflagsAandAmayAindicateAtheAnurseAfailedAtoAmeetAtheAstandardsAofAcare.ATheAattorneyAwi
llAreviewAtheAmedicalArecordAwithAtheAnurseAbeforeAgivingAaAdepositionA(swornApretrialAtestimony).AAbove
-
averageAperformanceAreviewsAcouldAbeAconsideredAsupportingAinformation.ACertificationAisAanA"extra"Aba
sedAonAtheAnurse'sAinitiative;AitAis,Ahowever,AunrelatedAtoAaccurateAcharting.



TheAnewAgraduateAnurseAinterviewsAforAaApositionAinAaAnursingAdepartmentAofAaAlargeAhealthAcareAagency
AthatAusesAtheAapproachAofAsharedAgovernance.AWhichAofAtheseAstatementsAbestAillustrateAtheAsharedAgov

ernanceAmodel?



1)AStaffAgroupsAareAappointedAtoAdiscussAnursingApracticeAandAclientAeducationAissues



2)ANon-nurseAmanagersAsuperviseAnursingAstaffAinAgroupsAofAunits



3)ANursingAdepartmentsAshareAresponsibilityAforAclientAoutcomes



4)AAnAappointedAboardAoverseesAanyAadministrativeAdecisionsA-AANSWERA3



Rationale:

SharedAgovernanceAorAself-
governanceAisAaAmethodAofAorganizationalAdesign.AItApromotesAempowermentAofAnursesAtoAgiveAthemAres
ponsibilityAforAclientAcareAissuesAandAoutcomesAwithAotherAdivisionsAinAtheAagency.



TheAregisteredAnurseA(RN)AandAtheAunlicensedAassistiveApersonA(UAP)AareAcaringAforAclientsAonAaAsurgicalA
unit.AWhichAaction(s)AbyAtheAUAPAwarrantAimmediateAintervention?A(SelectAallAthatAapply.)

, 1)ATheAUAPAemptiesAtheAindwellingAcatheterAbagAforAtheAclientAwhoAhadAaAtransurethralAresectionAofAtheA
prostateA(TURP)Ayesterday



2)ATheAUAPAappliesAmoistureAbarrierAcreamAtoAtheAclient'sAexcoriatedAperianalAarea



3)ATheAUAPAassistsAaAclient,AwhoAreceivedAanAIVAnarcoticAanalgesicA30AminutesAago,AtoAambulateAinAtheAha
ll



4)ATheAUAPAappliesAaAfingertipApulseAoximeterAonAaAclientAwhoseAfingernailAisApaintedAdarkAblue



5)ATheAUAPAassistsAaAclient,AwhoAhadAaAtotalAkneeAreplacementAtwoAdaysAago,AtoAshaveAusingAaAstraight-
edgeArazorA-AANSWERA3,A4,A5



Rationale:

TheAUAPAcanAperformAaAnumberAofAnursingAtasks,AsuchAasAemptyingAanAindwellingAurinaryAcatheterAbagAa
ndAapplyingAmoistureAbarrierAcreamAafterAperiAcare.AHowever,AitAisAunsafeAforAtheAUAPAtoAambulateAaAclie
ntAwhoArecentlyAreceivedAanAIVApushAnarcotic.AAlthoughAUAPAcanAshaveAclients,AitAisAunsafeAtoAshaveAsom
eoneAusingAaAstraight-
edgeArazorAbecauseAaAclientAwhoAhadAkneeAreplacementAsurgeryAisAprobablyAtakingAanAanticoagulant;Aonl
yAanAelectricArazorAshouldAbeAused.APulseAoximeterAreadingsAmustAbeAdoneAonAaAfingerAthatAisAwarmAandAf
reeAfromAdarkAfingernailApolish.



AnAelderlyAclientAisAadmittedAtoAaAhomeAcareAagencyAfollowingAhospitalizationAforAexacerbationAofAheartAf
ailure.ATheAclientAlivesAalone,AhasAdifficultyAcompletingAactivitiesAofAdailyAlivingA(ADLs)AandAisAunableAtoAdri
ve.



ReorderAtheAstepsAinAtheAcaseAmanagementAprocessAbyAdraggingAandAdroppingAtheAoptionsAbelow.



1)AEvaluationAofAprogressAtowardsAclient'sAgoals



2)AReferralAtoApersonalAcareAattendantAandAtransportationAservices



3)AAssessmentAofAbiophysicalAandAsocioculturalAconsiderations