Planning remedy for several patients is a nurse. Which of the following clients have to the
nurse refer to a case manager?
A) A patron who has neurological impairments because of a stroke B) A lady consumer
who's married and has given birth to a complete-time period child C) A affected person who's
still recovering from a cholecystectomy D) A baby whose dominant arm has been damaged.
A customer who has neurological impairments because of a stroke. - This customer have to
be mentioned the case manager for care via the nurse. A consumer who had a stroke will in
all likelihood require long-term remedy. A client who has ongoing wishes for care or
rehabilitation have to receive care this is directed via a case manager due to the complexity
and price of the purchaser's needs.
A nurse manager is knowledgeable through a set of nurses on a telemetry unit that the
cardiac monitoring device wishes to be updated to better hit upon arrhythmias. Which of the
subsequent responses ought to the nurse manager take?
A) A variance evaluation ought to be finished for this buy. B) The unit's capital budget plan
will want to encompass this purchase. C) The running finances will be decreased because of
this buy. D) This buy can be reimbursed by using Medicare budget, because customers who
use Medicare will enjoy the equipment.
B) The unit's capital finances plan will need to include this buy. The capital finances outlines
how a good deal cash will be spent on important purchases and sturdy system. A customer
with a postoperative hemoglobin degree of 8 g/dL is being cared for by a nurse. An
inexperienced nurse from a psychiatric unit is given the duty of administering a unit of
packed pink blood cells by using the nurse. Which of the following moves should the float
nurse take?
A) Call the company to clarify the prescription for administering the unit of packed crimson
blood cells.
B) If the charge nurse agrees to function a aid, dangle the blood unit. C) Question the nurse
regarding this prescription because of the stated client's hemoglobin stages.
D) Decline to grasp the blood.
D) Decline to hold the blood.
- The nurse has a prison obligation to decline appearing obligations that she can't carry out
appropriately and effectively. A drift nurse from a psychiatric unit could no longer be familiar
with the present day coverage concerning blood management, and this nurse may have
constrained revel in with this procedure. As a end result, the nurse should delegate the
undertaking to another nurse. A nurse in a company's workplace observes a newly licensed
nurse taking a client's health history at the same time as within the waiting location. The
nurse should take which of the subsequent movements? A) Maintain your eye at the nurse.
B) Speak to the nurse immediately in non-public
C) You would possibly need to apply the identical approach to get the maximum out of it
slow and workplace area. D) Report the nurse movements to the issuer.
B) Speak to the nurse at once in personal.
- The newly certified nurse is violating purchaser confidentiality and federal HIPPA
regulations. Others within the waiting room may overhear private non-public health records.
, The nurse have to at once forestall this conduct and talk to the newly certified nurse in
non-public to protect the privateness and confidentiality of the purchaser.
A nurse is delegating tasks to an assistive personnel (AP) for the care of a collection of
customers. Which of the following statements must the nurse make?
A) Take the temperature of the customer in room 200
B) Transport the consumer to the radiology branch at one thousand from room 203. C)
When the patron returns from surgical operation, take his critical symptoms in room 205. D)
Contact the provider of the patron in room 208 concerning his decreased hemoglobin.
B) Transport the patron to the radiology branch at a thousand from room 203. - This
statement observes the rights of delegation. By telling the AP who will shipping the client,
wherein to take them, and what time the purchaser desires to be on the radiology
department, it gives the AP the perfect undertaking that falls within their place of knowledge
and helps powerful communique. A nurse is being concerned for a customer who has
cancer. The affected person informs the nurse that he does now not desire to retain
receiving chemotherapy. The nurse ought to respond to which of the following. A) I suppose
you have to end this spherical of treatments after which see the way you experience.
B) I will discuss this selection with the designee in your health care proxy
C) I will tell your provider of your choice to stop the treatments
D) I am so sorry to hear you are tired of fighting and have made this selection.
C) I will tell your company of your choice to discontinue the treatments.
- The nurse has the duty to appreciate the client's proper to refuse clinical remedy. If a
consumer beneath the nurse's care does refuse remedies, the nurse additionally has a duty
to inform the company who have to offer the customer with statistics approximately the
outcomes, risks, and blessings of refusing remedy.
A nurse is a member of a facility committee that is in price of making and imposing new
forms for documentation. The nurse must apprehend which of the following elements as a
potential restraining force for enforcing this alteration?
A) Approval of the bureaucracy via nursing management
B) Staff resistance to getting to know new styles of documentation
C) Acknowledgement of the facility unit that efficiently completed the implementation first D)
The introduction of equipment for first-class manipulate to ensure that new documentation is
adhered to. B) The staff resistance to mastering new kinds of documentation
- Restraining forces obstruct trade. A constraining element may be group of workers
resistance to getting to know a brand new documentation system. In light of the danger, the
committee need to devise an implementation strategy. A small hearth in a trash can is found
while a nurse enters a purchaser's room. Which of the following moves must the nurse take
first?
A) Place moist towels or blankets at the edge of the door of the room with the hearth
B) Lock the patron room and fireplace doorways. C) Engage the fire alarm and notify the
operator of the clinic. D) Move the patron out of the room
D) Get the purchaser out of the room. When responding to a hearth, the nurse need to use
the protection and chance reduction precedence-setting framework. This framework assigns
priority to the component or situation posing the best safety threat to the purchaser. When
there are numerous chance to consumer's protection, the one posing the finest hazard is the
very best priority. To determine which risk poses the greatest chance to the patient, the
nurse need to employ nursing expertise, the ABC precedence-placing framework, or
Maslow's hierarchy of desires. Therefore, to make sure the protection of the consumer, the
nurse ought to flow the client out of the room.