to flow up with the physician if a client with
a K level of 4.0 and has kayexalate prescribed
The nurse should intervene if the nurse suspects a staff member
Obtain a client consent prior to receiving Ativan
The community health nurse is caring for the following clients. It would be a priority for the nurse to
multidisciplinary conference for the client who is
17 years old, has DM type 1, unemployed, and recent A1C is 13%
The Nurse from the postpartum unit has been temporarily assigned to a med surg floor. It would be m
appropriate to assign the nurse to the client who
had surgery two hours ago, appendectomy
The nurse in a well baby clinic has assigned several children today. It would be appropriate to sugge
for the child who is
18 months old and needs support to ambulate
,The nurse is caring for a mechanically ventilated client who was declared brain dead. An Advance Di
not documented in the medical record. It would be most appropriate to obtain consent for organ don
the
Clients closest family member
The nurse has received report on 4 clients, who should the nurse assess first
been admitted with Guillian Barre syndrome and has begun plasmapheresis therapy
It would be appropriate to assign which of these task to the CNA
one - on - one client observation for safety
The nurse should intervene is a staff member
discussing a client's DX with visiting family member
The nurse is preparing a staff presentation on legal and ethical issues in nursing. The nurse would b
include which of the following examples.
Putting a client in a geriatric chair with the lap tray in front of the client in the day room to watch TV... Exampl
imprisonment
, The nurse from the pediatric unit has been temp assigned to the ED. It would be most appropriate to
nurse to the client who
Is HIV + reporting nausea and vomiting
Four clients recently returned to the unit following invasive diagnostic testing. The nurse should imm
intervene if one of the clients:
Is observed flexing and extending the legs two hours post cardiac cath
The nurse is made aware for the following situations. The nurse should first check the client who
Has a history of partial seizures and is sitting in the bed picking at the clothing and smacking lips
The nurse in a community health clinic is talking with the parent of a child with celiac disease. Which
would require follow up by the nurse
"I can feed my child oatmeal and eggs for breakfast."
The charge nurse is observing a LPN preforming patient care. Follow up would be required if
The LPN dons clean gloves on the dominant hand before trach suctioning