COMP Galen College of nursing Questions with Complete Solutions

The nurse is reviewing medical prescription for the newly admitted clients. It would be a PRIORITY for the nurse to flow up with the physician if a client with Correct Answer-a K level of 4.0 and has kayexalate prescribed The nurse should intervene if the nurse suspects a staff member Correct Answer-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 initiate a multidisciplinary conference for the client who is Correct Answer-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 most appropriate to assign the nurse to the client who Correct Answer-had surgery two hours ago, appendectomy The nurse in a well baby clinic has assigned several children today. It would be appropriate to suggest follow up for the child who is Correct Answer-18 months old and needs support to ambulate The nurse is caring for a mechanically ventilated client who was declared brain dead. An Advance Directive is not documented in the medical record. It would be most appropriate to obtain consent for organ donation from the Correct Answer-Clients closest family member The nurse has received report on 4 clients, who should the nurse assess first Correct Answer-been admitted with Guillian Barre syndrome and has begun plasmapheresis therapy It would be appropriate to assign which of these task to the CNA Correct Answer-one - on - one client observation for safety The nurse should intervene is a staff member Correct Answer-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 be correct to include which of the following examples. Correct Answer-Putting a client in a geriatric chair with the lap tray in front of the client in the day room to watch TV... Example of false imprisonment The nurse from the pediatric unit has been temp assigned to the ED. It would be most appropriate to assign the nurse to the client who Correct Answer-Is HIV + reporting nausea and vomiting Four clients recently returned to the unit following invasive diagnostic testing. The nurse should immediately intervene if one of the clients: Correct Answer-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 Correct Answer-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 statement would require follow up by the nurse Correct Answer-"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 Correct Answer-The LPN dons clean gloves on the dominant hand before trach suctioning