Evolve fundamentals Questions and Answers
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The unlicensed assistive person (UAP) assigned to the 7 am shift has not been coming to work
until 8 am. Nursing care is delayed and assignments are started late. What is the most
appropriate action by the charge nurse/team leader?
1.Discuss the issue with a friend from another unit
2.Remind the UAP of the expected start time
3.Report the problem to the Human Resources department
4.Document the information before discussing it with the UAP 4.Document the
information before discussing it with the UAP
After abdominal surgery a client reports pain. What action should the nurse take first?
1.Reposition the client.
2.Obtain the client's vital signs.
,3.Administer the prescribed analgesic.
4.Determine the characteristics of the pain 4.Determine the characteristics of the pain
What is a nurse's responsibility when administering prescribed opioid analgesics? (Select all that
apply.)
1.Count the client's respirations.
2.Document the intensity of the client's pain.
3.Withhold the medication if the client reports pruritus.
4.Verify the number of doses in the locked cabinet before administering the prescribed dose.
5.Discard the medication in the client's toilet before leaving the room if the medication is
refused 1.Count the client's respirations.
2.Document the intensity of the client's pain.
4.Verify the number of doses in the locked cabinet before administering the prescribed dose.
An adolescent is taken to the emergency department of the local hospital after stepping on a
nail. The puncture wound is cleansed and a sterile dressing applied. The nurse asks about having
had a tetanus immunization. The adolescent responds that all immunizations are up to date.
, Penicillin is administered, and the client is sent home with instructions to return if there is any
change in the wound area. A few days later, the client is admitted to the hospital with a
diagnosis of tetanus. Legally, what is the nurse's responsibility in this situation?
1.The nurse's judgment was adequate, and the client was treated accordingly.
2.The possibility of tetanus was not foreseen because the client was immunized.
3.Nurses should routinely administer immunization against tetanus after such an injury.
4.Data collection by the nurse was incomplete, and as a result the treatment was insufficient
4.Data collection by the nurse was incomplete, and as a result the treatment was
insufficient
Refusing to follow the prescribed treatment regimen, a client plans to leave the hospital against
medical advice. The nurse recognizes that it is important to inform the client that he or she:
1.Is acting irresponsibly.
2.Is violating the hospital policy.
3.Must obtain a new healthcare provider for future medical needs.
4.Must accept full responsibility for possible undesirable outcomes 4.Must accept full
responsibility for possible undesirable outcomes
Verified by Experts
The unlicensed assistive person (UAP) assigned to the 7 am shift has not been coming to work
until 8 am. Nursing care is delayed and assignments are started late. What is the most
appropriate action by the charge nurse/team leader?
1.Discuss the issue with a friend from another unit
2.Remind the UAP of the expected start time
3.Report the problem to the Human Resources department
4.Document the information before discussing it with the UAP 4.Document the
information before discussing it with the UAP
After abdominal surgery a client reports pain. What action should the nurse take first?
1.Reposition the client.
2.Obtain the client's vital signs.
,3.Administer the prescribed analgesic.
4.Determine the characteristics of the pain 4.Determine the characteristics of the pain
What is a nurse's responsibility when administering prescribed opioid analgesics? (Select all that
apply.)
1.Count the client's respirations.
2.Document the intensity of the client's pain.
3.Withhold the medication if the client reports pruritus.
4.Verify the number of doses in the locked cabinet before administering the prescribed dose.
5.Discard the medication in the client's toilet before leaving the room if the medication is
refused 1.Count the client's respirations.
2.Document the intensity of the client's pain.
4.Verify the number of doses in the locked cabinet before administering the prescribed dose.
An adolescent is taken to the emergency department of the local hospital after stepping on a
nail. The puncture wound is cleansed and a sterile dressing applied. The nurse asks about having
had a tetanus immunization. The adolescent responds that all immunizations are up to date.
, Penicillin is administered, and the client is sent home with instructions to return if there is any
change in the wound area. A few days later, the client is admitted to the hospital with a
diagnosis of tetanus. Legally, what is the nurse's responsibility in this situation?
1.The nurse's judgment was adequate, and the client was treated accordingly.
2.The possibility of tetanus was not foreseen because the client was immunized.
3.Nurses should routinely administer immunization against tetanus after such an injury.
4.Data collection by the nurse was incomplete, and as a result the treatment was insufficient
4.Data collection by the nurse was incomplete, and as a result the treatment was
insufficient
Refusing to follow the prescribed treatment regimen, a client plans to leave the hospital against
medical advice. The nurse recognizes that it is important to inform the client that he or she:
1.Is acting irresponsibly.
2.Is violating the hospital policy.
3.Must obtain a new healthcare provider for future medical needs.
4.Must accept full responsibility for possible undesirable outcomes 4.Must accept full
responsibility for possible undesirable outcomes
