NURSING 101 Prioritization & Delegation Set 3

12. A diabetic client presents with hot and dry skin, rapid and deep respirations, and a fruity odor to his breath. As a charge nurse, you observe the new grad RN accomplishing all of these client tasks. Which one requires that you intervene immediately? A. RN encourages the client to drink orange juice. B. RN checks the client’s order for sliding scale insulin. C. RN assesses the client’s VS every 15 minutes. D. RN checks the client’s Accu check. 13. You just received a change of shift report for the burn unit. Which client should you assess first? A. Client who just arrived from the ED with facial burns associated with a house fire. B. Client with deep partial-thickness burns on both legs who is complaining of severe and continuous leg pain. C. Client admitted 3 weeks ago with full-thickness leg and buttock burns who has been waiting for 3 hours to receive discharge teaching. D. Client who has just been transferred from the PACU after having skin grafts applied to the anterior chest. 14. You are the nurse manager in the burn unit. Which client is best assigned to an RN who has floated from the oncology unit? A. 57 yo with full-thickness burns on both arms who needs assistance in positioning hand splints. B. 45 yo with infected partial-thickness back and chest burns who has a dressing change scheduled. C. 23 yo who has just been admitted with burns over 30% of the body after a warehouse fire. D. 36 yo who requires discharge teaching about nutrition and wound care after having skin grafts.