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Module 5: Management of Care Questions and Answers (100% Correct Answers) Already Graded A+

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Module 5: Management of Care
Questions and Answers (100% Correct
Answers) Already Graded A+
A registered nurse (RN) must determine how best to assign co-
workers (another RN and one licensed practical nurse [LPN]) to
provide care to a group of clients. Which of the following is the
best assignment? [ANS:] The RN is assigned to care for a woman
with newly diagnosed leukemia who has a newborn at home.
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Rationale: To determine what may and may not be delegated to
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the various co-worker, the RN making the assignment must take
into account several factors: the level of care required by each
client, both immediately and in the future; the competencies
possessed by the co-workers; and the legal limitations on the
practice of those co-workers. Self administration of insulin and
discharge instructions on dressing changes and medications
require teaching, a professional responsibility that the RN may not
delegate to anyone except another RN.

A man who is visiting his wife in a LT care facility for people with
Alzheimer's disease collapses and is transported to a hospital. The
client remains unconscious, and testing reveals that he has
cancer that has metastasized to bone, brain, and liver. The nursing
staff at wife's care facility report to the hospital physician that the
client has no other family members and that his wife is mentally
incompetent. What information regarding DNR orders does the
nurse remember? [ANS:] That a DNR order may be written by a
client's physician.

, 2
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Rationale: In a situation in which a client has no family members
who can provide permission for treatment, the physician may
write a DNR order if he or she is reasonably and medically certain
that resuscitation would be futile.

A registered nurse (RN) is supervising a nursing assistant
ambulating a client with right-sided weakness. The RN would
conclude that the nursing assistant is performing the procedure
incorrectly after observing that the nursing assistant [ANS:] Stands
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behind the client
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Rationale: When walking with a client, the nurse should stand on
the affected side and grasp the security belt in the mid-spine area
of the small of the client's back. The nurse should position the free
hand at the shoulder area so that the client may be pulled toward
the nurse in the event that there is a forward fall. The client is
instructed to look up and outward rather than at his or her feet.

A nurse manager has announced a change to computerized
documentation of nursing care. A licensed practical nurse (LPN)
on the team, resistant to the change, is not taking an active part
in facilitating implementation of the new procedure. Which of the
following strategies would be the best approach to dealing with
the conflict? [ANS:] Confronting the LPN and encouraging him to
express his feelings regarding the change




Rationale: Confrontation is an important strategy in dealing with
resistance. Face-to-face meetings to confront the issue at hand

, 3
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allow verbalization of feelings, identification of problems and
issues, and development of strategies to solve the problem.

A nurse and a nursing assistant enter a client's room to provide
care and find the client lying on the floor. The nurse should first
[ANS:] Check the client's LOC and VS




Rationale: When a client sustains a fall, the nurse must first assess
the client. The nurse should check the client's level of
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consciousness and vital signs and look for any bruises or injuries
sustained in the fall.

A nurse is taking a morning break with the unit secretary in the
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nurses' lounge. The unit secretary says to the nurse, "I read in Mr.
Gage's medical record that he has gonorrhea." How should the
nurse respond to the secretary? [ANS:] "We can't discuss a client's
medical condition."




Rationale: A client's medical condition is confidential and should
never be discussed with anyone other than the client and the
client's HCP.

A married couple is attending a hospital program about in vitro
fertilization. During the program, a crew from a local television
station arrives to film the proceedings because the station is
publicizing a series on hospital services. The nurse conducting the
program should [ANS:] Explain to the television crew that
videotaping is not allowed.

, 4
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Rationale: Privacy is a client's right to be free from unwanted
intrusion into his or her private affairs. Videotaping constitutes an
invasion of a client's privacy, and written permission is required
from the client for an action such as photographing or
videotaping. Therefore the nurse must explain to the television
crew that videotaping is not allowed.

A nurse on the day shift is assigned to care for four clients. List the
clients in order of priority for nurse. [ANS:] A client with asthma who
had shortness of breath during the night
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A client scheduled to have a chest x-ray at 9 am
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A client scheduled for an echocardiogram at 10 am




A client with pneumonia who is scheduled for discharge home




Rationale: Airway is always the priority, so the nurse would first
assess the client with asthma who had shortness of breath during
the night. The nurse would next assess the client scheduled for a
chest x-ray, because the x-ray is scheduled at 9 am and the nurse
would want to gather data about the client before the client
leaves the nursing unit. Next the nurse would assess the client
scheduled for an echocardiogram at 10 am, and finally the nurse
would care for the client scheduled for discharge. The client being
discharged will have needs that must be addressed, but there is

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