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NCLEX Leadership and Management Recent
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Quiz: The nurse is caring for the uninsured, homeless client with chest
pain who has sought care in an ED. Which action should the nurse
take? Select all that apply.
1. Ask the health care provider (HCP) to see the client before
admission.
2. Provide care according to the standard of care and emergency
protocols.
3. Refer the client to the nearest hospital that provides charity care.
4. Treat the client respectfully and honour the client's request to be
seen.
5. Initiate a social worker consult after stabilizing and treating the client.
Ans: 2, 4, & 5.
2. Federal law and many state laws require that hospitals must provide
emergency care.
4. All clients, regardless of ability to pay and living circumstances, should be
treated with respect and dignity.
5. A social worker consult should be initiated because the social worker's
role includes assisting clients with placement and financial issues.
Quiz: The older adult client wishes to be discharged home after a
kyphoplasty. The client has a history of emphysema requiring oxygen at
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,home. To ensure discharge to home is appropriate, which is most
important for the nurse to assess.
1. Home care resources
2. Pain management plan
3. Self-care deficits
4. Medication regime
Ans: 3
The nurses assessment of the client's self-care deficits will determine if
additional resources or education is necessary.
Quiz: The client is admitted for coronary artery bypass surgery
(CABG) with an anticipated admission to the coronary care unit (CCU).
In preparation for the client's hospital admission, implementation of
which component will best predict the sequence and timing of care,
and direct the course of the client's hospital stay.
1. A clinical pathway
2. A client education plan
3. HCP-initiated interventions
4. Discharge planning at the time of admission
Ans: 1.
A clinical pathway is a standardized multidisciplinary care plan that projects
the client goals, expected course of the client's treatment, and progress over
the client's hospital stay.
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,Quiz: The 72-year-old client with a left leg DVT and a history of a
brain tumour is hospitalized for 3 days. The client's care plan indicates a
nursing problem of Imbalanced nutrition: less than body requirements
related to poor appetite and decreased oral intake. Which assessment
finding would best indicate a need to revise the care plan related to
the nursing problem?
1. Oral mucous membranes are dry and cracked due to dehydration.
2. Daily intake and output shows that caloric intake is inadequate.
3. Client is not receptive to education regarding nutrition.
4. Client states not feeling hungry and not wanting to eat.
Ans: 1.
This statement supports an addition to the nursing diagnostic statement
"related to impaired mucous membranes". If the client has impaired oral
mucous membranes, it may be uncomfortable to chew and swallow food,
therefore exacerbating the underlying condition. To help the client achieve
the goal of balanced nutrition, including this with the nursing diagnostic
statement will alert caregivers and facilitate appropriate interventions.
Quiz: The pediatric client, newly diagnosed with CF, is being
discharged home. The client's parents are anxious, asking many
questions about the child's nutrition, medication regimen, nebulizer
treatments, and chest percussion. They are expressing concerns about
the high cost of care and financial hardship. Which health care
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, disciplines should be included in a planned multidisciplinary care
conference? Select all the apply.
1. Nurse
2. Dietitian
3. Social worker
4. Nursing assistant
5. Respiratory therapist
Ans: 1, 2, 3, & 5
1. The nurse should coordinate care and provide medication teaching.
2. The dietitian should provide diet counselling
3. The social worker should address finances
5. The respiratory therapist should instruct on chest percussion and nebulizer
treatments.
Quiz: The client is hospitalized for GI bleeding. The client's family tells
the nurse the client has a history of drinking four to eight beers every
day. Which collaborative action provides the best overall client care?
1. Calling the case manage to obtain a consult for chemical
dependency.
2. Consulting a multidisciplinary team to review the client's problem list.
3. Calling the HCP and recommending orders to treat delirium tremems
(DT's).
4. Consulting the social worker to address client finances and
placement.
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