A client who is febrile is admitted to the hospital for treatment of pneumonia. In accordance with the care pathway, antibiotic therapy is prescribed. Which of the following situations requires the nurse to complete a variance report with regard to the care pathway? A. Antibiotic therapy was initiated 2 hr after implementation of the care pathway B. A blood culture was obtained after antibiotic therapy has been initiated C. The route of antibiotic therapy on the care pathway was changed from IV ...

A home health nurse is caring for a child who has Lyme disease. Which of the following is an appropriate action for the nurse to take a. Ensure the state health department has been notified b. Administer antitoxin c. Educate the family to avoid sharing personal belongings d. Assess for skin necrosis - a. Ensure the state health department has been notified A nurse is caring for a client who has been admitted to the hospital. (NGN) – Nurses’ notes 0900: The client reports experiencing a l...

Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia? - Yes. A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which of the following client's needs may the nurse assign to an assistive personnel (AP)? A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia B. Reinforcing teaching w/a client who is learning to walk using a quad cane C. Reapplying a condom catheter for a client who has urinary incontine...

A nurse is admitting a new client. Which of the following actions should the nurse take while performing medication reconciliation? - Compare the client's home medications with the providers prescriptions. A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the following actions should the nurse take? - Administer the medication with the needle at a 45 degree angle. A nurse is using an open irrigation technique to irrigate a client's indwelling urinary...

Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia? - Yes. A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which of the following client's needs may the nurse assign to an assistive personnel (AP)? A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia B. Reinforcing teaching w/a client who is learning to walk using a quad cane C. Reapplying a condom catheter for a client who has urinary incontinen...

Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia? - Yes. A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which of the following client's needs may the nurse assign to an assistive personnel (AP)? A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia B. Reinforcing teaching w/a client who is learning to walk using a quad cane C. Reapplying a condom catheter for a client who has urinary incont...

A nurse is assessing an infant who has water intoxication. Which of the following findings should the nurse expect? - bounding pulse A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the following statements indicates the newly licensed nurse understands the purpose of the technique - a. This technique decreases the risk of subcutaneous infiltration 1. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the...

A patient has a nursing diagnosis of ineffective airway clearance related to retained secretions, excessive mucus, and ineffective cough as evidenced by adventitious breath sounds. What should the nurse include in the NCP as an appropriate NOC outcome and NIC intervention for this nursing diagnosis? 1. Aspiration Prevention (NOC) and Aspiration Procedures (NIC) 2. Respiratory Status: Gas Exchange (NOC) and Oxygen Therapy (NIC) 3. Respiratory Status: Ventilation (NOC) and Respiratory Monito...

A patient has a nursing diagnosis of ineffective airway clearance related to retained secretions, excessive mucus, and ineffective cough as evidenced by adventitious breath sounds. What should the nurse include in the NCP as an appropriate NOC outcome and NIC intervention for this nursing diagnosis? 1. Aspiration Prevention (NOC) and Aspiration Procedures (NIC) 2. Respiratory Status: Gas Exchange (NOC) and Oxygen Therapy (NIC) 3. Respiratory Status: Ventilation (NOC) and Respiratory Monito...

ATI RN Fundamentals Proctored Exam Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia? - ANS Yes. A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which of the following client's needs may the nurse assign to an assistive personnel (AP)? A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia B. Reinforcing teaching w/a client who is learning to walk using a quad cane C. Reapplying ...