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A nurse is delegating a task to an AP. The AP is to transfer a pt who has a
below the knee amputation from a bed to a wheelchair. The AP has never
transferred a pt with an amputation before. Which of the following actions
should the nurse take?
a. provide the AP with a manual on how to
b. assist the AP after he has practiced the transfer
c. transfer the client while the AP observes - CorreCt Answers -b. assist the
AP after he has practiced the transfer
A nurse on a med surg unit is caring for a group of pts. For which of the
following situations should the nurse complete a variance report?
a. clarification of a med dose prescribed by the provider
b. the discovery that a pre-op client has received and eaten breakfast -
CorreCt Answers -b. the discovery that a pre-op client has received and
eaten breakfast
Based on recommendation following a regulatory agency visit, the nurse
manager mandates a policy change. One of the staff nurses on the unit is
resistant to the change, and the nurse manager notes that the nurse does
not deliver care according to the new policy. Which of the following actions
should the nurse take?
,a. explain the disciplinary consequences of not implementing the new
policy
b. reinforce with the staff nurse the importance of implementing the policy
change
c. ignore the resistance
d. encourage the nurse to verbalize reasons for resisting the change -
CorreCt Answers -Encourage the nurse to verbalize reasons for resisting
the change.
A nurse in an ER is caring for four clients. Which of the following findings
requires the nurse to act as a mandatory reporter?
a child who was left unsupervised for several hours at home and is being
treated for a fractured leg.
a client who was admitted for pneumonia and admits to having no heat or
running water at home.
a client who has depression and self-inflicted wrist laceration. - CorreCt
Answers -A child left unsupervised for several hrs at home and is being
treated for a fractured leg.
This child exhibits findings of neglect and endangerment. the nurse is a
mandatory reporter of any client situation in which children or older adult
clients are being abused or neglected.
, A pt in long term care facility falls out of bed, fracturing his right hip. The
side rails on the bed were not raise at bedtime, although this pt was a high
fall risk. The nurse should identify what tort has occurred? - CorreCt
Answers -Negligence
Negligence occurs when a client is exposed to an unreasonable risk of
injury. raised side rails help to decrease the risk of falling out of the bed and
are a standard of care for clients who have been identified as at risk for
falling.
A nurse in the emergency department is preparing to obtain informed
consent for surgery from a client who received meperidine hydrochloride IV
during transport from a rural hospital. Which of the following actions
should the nurse take to obtain consent for surgery? - CorreCt Answers -
Obtain consent from a relative of the client.
This medication can alter the client's ability to understand the consent
process. the nurse should obtain consent from a relative of the client. if a
relative is unavailable and the surgery is determined to be critical, the
surgery can proceed without client consent.
A nurse on a medical surgical unit is caring for a group of clients. for which
of the following situations should the nurse complete a variance report? -
CorreCt Answers -This discovery that a preoperative client has received
and eaten breakfast.
This situation represents a variation from the standard of care. a change in
the client's plan of care is necessary for this client because the surgical
procedure will need to be delayed.A nurse manager calls a meeting of the
unit's staff members to discuss cost-containment issues. The nurse