A case manager is preparing discharge plan for a purchaser following coronary artery bypass
grafting surgical operation. Which of the subsequent purchaser problems must the nurse deal
with first?
A. A. Inadequate meals deliver
b. B. Low ache tolerance
c. C. Limited social guide
d. D. Decreased shallowness - ANS-a. A. Inadequate meals deliver
A case manager is reviewing documentation on numerous customers and notes a progress
document that falsely identifies a consumer as HIV-wonderful due to multiple sexual partners.
The nurse supervisor must pick out that which of the following torts has happened?
A. Libel
b. Battery
c. Slander
d. Negligence - ANS-a. Libel
A case supervisor observes a family member of a purchaser who has Alzheimer's sickness
throwing books at the ground and sobbing at the same time as the purchaser is having a
diagnostic take a look at. Which of the subsequent actions ought to the case manager take first?
A. Help the caregiver arrange for respite care
b. Offer to have a brief speak with the caregiver
c. Consult social services to explore counseling
d. Refer the caregiver to a nearby assist group - ANS-b. Offer to have a short speak with the
caregiver
A charge nurse is assessing workforce understanding about protection processes regarding
needle-stick injuries. Which of the subsequent statements through a nurse shows appropriate
understanding of these safety processes?
A. Prophylactic treatment need to be initiated after a needle-stick at some stage in training of an
injection
b. The needle must be recapped to prevent injury throughout transport to the biohazard box
c. I ought to prevent the bleeding as quickly as possible following a needle-stick injury
d. An incident document should be completed if a consumer gets a stick from her very own used
needle - ANS-d. An incident record ought to be completed if a customer gets a stick from her
very own used needle
A price nurse is assessing the room of a newly admitted purchaser who has dysphagia. Which
of the subsequent portions of equipment must the nurse ensure is available inside the client's
room?
,A. Yankauer suction tool
b. Large-dealt with utensils
c. Nasal cannula and oxygen
d. Bite block - ANS-a. Yankauer suction device
A charge nurse is completing patron care assignments. Which of the following assignments is
suitable for a licensed sensible nurse?
A. A purchaser who calls for discharge instructions for kind 1 diabetes mellitus
b. A patron who calls for a blood transfusion to be administered
c. A purchaser who's 1 day postoperative and has a continuous bladder irrigation
d. A purchaser who's receiving IV chemotherapy - ANS-c. A client who's 1 day postoperative
and has a continuous bladder irrigation
A price nurse is teaching a collection of newly certified nurses about the case management
technique to client care. Which of the subsequent statements through a newly certified nurse
suggests an know-how of the responsibilities of a nurse in case management?
A. Each nurse completes one precise project for a set of customers
b. Nurses use important pathways when worrying for clients
c. Nurses who've advanced schooling offer direct care for select clients
d. Nurses delegate and supervise assigned tasks - ANS-b. Nurses use crucial pathways whilst
caring for customers
A price nurse is comparing a newly licensed nurse's expertise of infection control procedures.
Which of the subsequent actions demonstrates that the nurse is following the ideal protocol for a
client who has streptococcal pharyngitis?
A. Placing the customer in a positive-airflow room with 12 air exchanges according to hour
b. Explaining to the client that he can not have traffic until his manifestations solve
c. Donning sterile gloves while acting recurring oral care
d. Wearing a masks when within 1 m (3.Three toes) of the purchaser - ANS-d. Wearing a mask
while within 1 m (three.3 ft) of the consumer
A rate nurse is making assignments for a clinical-surgical unit. Which of the following clients is
suitable to assign to a licensed realistic nurse?
A. A patron who has emphysema and has an oxygen saturation stage of 92%
b. A customer who is scheduled to begin oral nutrition 2 days after stroke
c. A client who's scheduled to receive 2 devices of RBCs following a hip substitute
d. A purchaser who has dehydration and is being admitted from the emergency department -
ANS-a. A client who has emphysema and has an oxygen saturation degree of ninety two%
A price nurse is making group of workers assignments on a scientific-surgical unit. Which of the
following duties ought to the nurse plan to delegate to an assistive personnel?
A. A. Measuring oxygen saturation for a consumer who has dyspnea
b. B. Inserting a rectal suppository for a patron who's vomiting
c. C. Performing nasal hygiene for a purchaser who has an NG tube
, d. D. Pouching a purchaser's ostomy bag for a brand new colostomy - ANS-c. C. Performing
nasal hygiene for a consumer who has an NG tube
A price nurse is reviewing how to installation a sterile discipline with a newly certified nurse.
Which of the subsequent statements by means of the newly certified nurse suggests an
information of the system?
A. I will open the outermost flap of the sterile tray in the direction of my body
b. I will area the sterile tray on a bedside table this is raised to simply beneath my waist degree
c. I can touch the outer 2 inches of the sterile subject without gloves
d. I will preserve the label of the solution bottle facing up while pouring answer into the sterile
cup - ANS-d. I will keep the label of the answer bottle going through up when pouring answer
into the sterile cup
A charge nurse making rounds observes that an assistive employees (AP) has carried out wrist
restraints to a customer who's agitated and does not have a prescription for restraints. Which of
the following moves must the nurse take first?
A. A. Remove the restraints from the patron's wrists
b. B. Review the chart for nonrestraint alternatives for agitation
c. C. Speak with the AP approximately the incident
d. D. Inform the unit manager of the incident - ANS-a. A. Remove the restraints from the
consumer's wrists
A rate nurse notices that team of workers nurses are not taking meal breaks during their shifts.
Which of the following movements ought to the nurse take first?
A. Discuss time control strategies with the nurses
b. Provide insurance for the nurse's breaks
c. Determine the reasons the nurses are not taking scheduled breaks
d. Review guidelines for taking scheduled breaks - ANS-c. Determine the motives the nurses
are not taking scheduled breaks
a rate nurse on an obstetrical unit is making ready the shift task. Which of the following clients
have to be assigned to an RN who has floated from a scientific-surgical unit?
A. A customer who's at 32 weeks of gestation and has premature rupture of membranes
b. A multigravida client who has preeclampsia and is receiving misoprostol for induction of
exertions
c. A primigravida patron who's 1 day postoperative following a Cesarean segment and has a
PCA pump
d. A consumer who has gestational diabetes and is receiving biweekly nonstress tests - ANS-c.
A primigravida patron who is 1 day postoperative following a Cesarean phase and has a PCA
pump
A rate nurse overhears a issuer and a nurse speaking approximately a client's prognosis in the
cafeteria. Which of the following actions ought to the nurse take first?
A. Remind them that patron information is exclusive