NUR 1211 Leadership - Exam 2

NUR 1211 Leadership - Exam 2 1. An RN in the emergency department is assessing an elderly client. The client’s son states that the client has glaucoma, is extremely hard of hearing, and has been experiencing severe abdominal cramping and diarrhea or the past 24 hrs. Which of the following actions is most appropriate for the nurse to do FIRST? a. Ask the client if he is wearing or has with him a hearing aid. 20. What is the primary purpose of laws and legislation? a. To protect the nurse and the pt 26. A RN is assessing four clients on a Medical-Surgical unit. Which one of the following clients should the RN attend to first? a. A client who has a cast on her left forearm and reports numbness and paresthesia in her fingers. 13. When a RN receives what he/she feels is an unsafe assignment, which of the following actions is most appropriate to do initially? a. Bring the inappropriate assignment to the attention of the charge nurse and negotiate a new assignment 24. A nurse is convicted for false representation and illegal practice as a nurse practitioner. The nurse is sentenced to five years in a state penitentiary. Which of the following courts has processed this nurse’s sentence? a. Criminal Court 7. A nurse is caring for several clients in a walk in clinic. Which client should the nurse have the provider see immediately? a. A diaphoretic, obese middle-ages man with epigastric pain. 39. After signing an informed surgical consent form, a client states, “I have changed my mind and do not want to have the operation.” Which of the following should the RN do first? a. Explore with the client reasons for withdrawing his consent. 45. An RN overhears two care providers discussing a hospitalized client while getting coffee bar in hospital lobby where many visitors can hear them. Which nursing action below is most appropriate for the RN to take first? a. Quietly pull the two staff members aside and remind them about client confidentiality 41. An RN notes that the toes on the casted left foot of her post-surgical client are cold turning blue. The RN had notified the healthcare provider’s answering service every hour for the past two hours, yet the hcp had not yet responded to the calls. The client is now complaining of extreme pain. What is the most important action for the nurse to take right now? a. Report the situation to the nursing supervisor so she can elevate the patient’s situation to the appropriate head/chief physician for the service. 8. Which statement best describes the value of clinical pathways (also known as care paths or critical pathways)? a. They provide a means of standardizing care for client with similar diagnoses.