NCSBN Test Bank for NCLEX-RN & NCLEX-PN Practice Questions Exam With Detailed Correct Answers| Solution Guaranteed.

This document specifies the client's wishes. - correct answers Advance Directives Only tasks that do not require independent judgment should be delegated. - correct answers Delegation of Care The nurse expects to find rash and restlessness on the initial history and physical assessment. - correct answers Initial Assessment for Child One of the most common signs of neuroblastoma is increasing abdominal girth. - correct answers Neuroblastoma Signs Assess and treat in the same manner as any adult client. - correct answers Initial Action for Married Minor A document that guides the care of clients regarding their treatment preferences. - correct answers Client Self Determination Act Instructions provided by a physician that guide the care of a patient. - correct answers Physician's Treatment Orders Standardized guidelines for patient care based on clinical best practices. - correct answers Clinical Pathway Protocols A bed bath may be delegated to a licensed practical nurse for a stable client. - correct answers Stable Client Care Increased temperature and lethargy can indicate illness in children. - correct answers Signs of Illness in Children Diarrhea and poor skin turgor are signs of dehydration. - correct answers Symptoms of Dehydration Increased sleeping and listlessness can indicate a health issue. - correct answers Symptoms of Illness Comments like 'the child has been listless and has lost weight' require follow-up. - correct answers Parental Comments on Child's Health Dark yellow urine in small amounts can indicate a health concern. - correct answers Dark Urine in Children Muscle weakness and unsteadiness can be significant signs of health issues. - correct answers Muscle Weakness in Children A legally married minor can sign consent forms for their own treatment. - correct answers Legal Consent for Treatment Triage nurses must assess and treat patients in accordance with legal guidelines. - correct answers Emergency Department Protocol It is inappropriate to assign complete care to a nursing student. - correct answers Nursing Student Delegation A licensed vocational nurse can perform certain delegated tasks under supervision. - correct answers Licensed Vocational Nurse Role Nursing assistants can be assigned basic care tasks that do not require nursing judgment. - correct answers Nursing Assistant Tasks A minor who has the legal capacity of an adult due to marriage, pregnancy, high school graduation, independent living, or service in the military. - correct answers Emancipated minor A person who assists with patient care under the supervision of a licensed nurse, but does not have the authority to make independent judgments. - correct answers Unlicensed Assistive Personnel (UAP) A critical condition that requires careful monitoring and appropriate interventions to restore fluid balance. - correct answers Severe dehydration in elderly clients An indicator of potential dehydration or renal impairment that should be reported by UAP. - correct answers Fluid output less than 30 ml/hr A serious inflammatory condition that can occur after infection with Group A streptococci, typically developing 2-6 weeks post-infection. - correct answers Rheumatic fever A type of bacteria that can cause strep throat and is associated with the development of rheumatic fever. - correct answers Group A streptococci The professional relationship between a nurse and a client that is focused on the client's needs and well-being. - correct answers Therapeutic relationship A client who uses behaviors to control or influence others, often leading to challenges in the therapeutic relationship. - correct answers Manipulative client A structured approach to changing specific behaviors in clients to promote more functional behavior. - correct answers Behavior modification plan The practice of placing a client in a controlled environment to ensure safety, often used in cases of aggressive behavior. - correct answers Seclusion Legal charges that may arise if a nurse uses force or restraint without proper justification or consent. - correct answers Assault and battery in nursing A colleague or supervisor who can provide unbiased feedback and support regarding a nurse's feelings and actions. - correct answers Objective peer or supervisor Previous instances of aggressive behavior that may influence the management and care of a client. - correct answers History of violence Specific responsibilities assigned to UAP by a nurse, which must be clearly communicated and do not require independent judgment. - correct answers Delegated tasks The dynamic interaction between a nurse and a client, which can be influenced by the nurse's feelings and attitudes. - correct answers Nurse-client relationship A record of a client's previous fluid intake and output, important for assessing hydration status. - correct answers Fluid loss history A clinical assessment of skin elasticity used to evaluate hydration status. - correct answers Skin turgor Intravenous fluids administered to clients to restore or maintain hydration and electrolyte balance. - correct answers IV fluids The willingness of a client to follow a nurse's instructions or treatment plan. - correct answers Client compliance The systematic evaluation of a client's health status, including physical, emotional, and social factors. - correct answers Nursing assessment Specialized nursing care practices tailored to meet the unique needs of older adults. - correct answers Elderly client care Actions taken by nurses to improve patient outcomes based on assessments and care plans. - correct answers Nursing interventions