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1. 1. A charge nurse is observ- Asks the client to report if the aquathermia pad gets too warm
ing a newly licensed nurse is correct. The nurse should instruct the client to report if the
care for a client who has a aquathermia pad gets too warm because it can cause client injury.
prescription for application
of an aquathermia pad to Checks the client's leg 30 min after applying the aquathermia pad
the right lower leg. Which of is incorrect. The nurse should check the client's leg 15 to 20 min
the following actions should after applying the aquathermia pad to ensure there is no evidence
indicate to the charge nurse of complications.
that the nurse understands
Shows the client how to adjust the temperature is incorrect. The
how to use the device? (Se-
nurse should not show the client how to adjust the temperature.
lect all that apply.)
Temperature adjustments can result in pain and impaired circula-
Asks the client to report if
tion.
the aquathermia pad gets
too warm
Ensures that the client's call light is in reach is correct. The nurse
should ensure that the client's call light is in reach as part of basic
Checks the client's leg 30
safety instructions
min after applying the
aquathermia pad
.Decreases the temperature by 2.8° C (5° F) if the client's skin
becomes reddened is incorrect. The nurse should monitor the
Shows the client how to ad-
client's skin for increased redness and should discontinue the
just the temperature
aquathermia pad if it is noted. The nurse should report the finding
Ensures that the client's call to the provider.
light is in reach
Decreases the temperature
by 2.8° C (5° F) if the client's
skin becomes reddened
2. 2. A nurse manager is re- Latent
viewing the stages of con- Perceived
flict resolution with the Felt Conflict
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nursing staff. The nurse Manifest Conflict
manager should instruct Conflict aftermath
the staff to expect the
stages of the conflict to oc- The first stage of the conflict process is latent conflict, which involves
cur in what order? (Move awareness of potential situations that can create conflict. Stage
the steps into the box on two is perceived conflict, where those who are affected discuss the
the right, placing them in situation in an impersonal manner. Stage three is felt conflict, which
the selected order of perfor- occurs when those who are affected become personally involved.
mance. Use all the steps.) Stage four is manifest conflict and is signaled by those who are
involved taking action. In stage five, or conflict aftermath, those who
are involved recognize the positive and negative outcomes of how
the situation was managed.
3. 3. A charge nurse is con- A client who has pertussis
ducting an in-service with A client who has pertussis requires droplet precautions.
staff members about in-
fection control precautions. A client who has shigella
The nurse should instruct A client who has shigella and is incontinent requires contact pre-
the staff that which of the cautions.
following clients requires
A client who has measles
droplet precautions?
A client who has measles requires airborne precautions.
A client who has shigella
A client who has toxic shock syndromeA client who has toxic shock
A client who has measles
syndrome requires standard precautions.
A client who has toxic shock
syndrome
A client who has pertussis
4. 4. A nurse is teaching a "My insurance coverage no longer has lifetime coverage limits."
client about the Patient The Patient Protection and Affordable Care Act protects the client
Protection and Affordable from annual and lifetime coverage limits.
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Care Act and their rights
regarding insurance cover- "I can provide health insurance coverage for my children on my
age. Which of the following policy until they turn 21 years old."
statements by the client in- The Patient Protection and Affordable Care Act allows parents to
dicates an understanding of insure their dependents until the age of 26.
the teaching?
"My insurance will not provide coverage for preexisting condi-
"My insurance coverage no
tions."
longer has lifetime cover-
The Patient Protection and Affordable Care Act states that an insur-
age limits."
ance provider cannot deny coverage to a client due to preexisting
"I can provide health insur- conditions.
ance coverage for my chil-
"I can lose my insurance coverage since I have been sick so much
dren on my policy until they
this year."
turn 21 years old."
The Patient Protection and Affordable Care Act protects clients from
"My insurance will not pro- cancellation of their insurance due to illness.
vide coverage for preexist-
ing conditions."
"I can lose my insurance
coverage since I have been
sick so much this year."
5. 5. A nurse in a commu- Chlamydia trachomatis
nity health clinic is caring
for four clients who each According to the Centers for Disease Control and Prevention,
have a communicable dis- Chlamydia trachomatis is a nationally notifiable infectious disease
ease. Which of the follow- in all 51 jurisdictions. The nurse should notify the state health de-
ing conditions is considered partment, which monitors and controls communicable diseases.
a nationally notifiable infec-
Respiratory syncytial virus (RSV)
tious disease?
According to the Centers for Disease Control and Prevention, RSV
Respiratory syncytial virus
is not a nationally notifiable infectious disease.
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(RSV)
Methicillin-resistant Staphylococcus aureus (MRSA)
Methicillin-resistant Staphy- According to the Centers for Disease Control and Prevention, MRSA
lococcus aureus (MRSA) is not a nationally notifiable infectious disease.
Clostridium difficile Clostridium difficile
According to the Centers for Disease Control and Prevention, C.
Chlamydia trachomatis difficile is not a nationally notifiable infectious disease.
6. 6. A nurse manager sends Set up a formal meeting with the nurse within 24 hr.
home a nurse who is chemi- Once the nurse manager has removed the nurse from the work
cally impaired. Which of the environment and arranged for safe transportation home, the nurse
following actions should the manager should arrange to meet with the nurse within the next
nurse manager take? 24 hr. The nurse manager should confront the nurse who was
Provide a series of coun- chemically impaired and clearly identify the facility's expectations.
seling sessions with the
nurse. Provide a series of counseling sessions with the nurse.
The nurse manager is not responsible for taking on the role of
Talk with the nurse's counselor or treatment provider for a nurse who is impaired.
coworkers to determine a
potential cause for the im- Talk with the nurse's coworkers to determine a potential cause for
pairment. the impairment.
The nurse manager should not discuss the nurse's situation with
Set up a formal meeting coworkers nor diagnose a cause for the impairment. The nurse
with the nurse within 24 hr. manager should handle the incident in a confidential manner.
Report the nurse's chemical
impairment to the risk man-
ager.
7. 7. A nurse is teaching a "These will outline my wishes for medication treatment."
client about advance direc- The purpose of advance directives is to outline the client's wishes
tives. Which of the following if they become unresponsive.