A nurse is caring for a client who wanders through the halls
yelling obscenities at staff, other clients, and visitors. Which
of the following actions should the nurse take.
a. . Keep the client in her room with the door closed
b. . Contact a family member to come and sit with the client
c. Place the client in a wheelchair with a lap tray
d. Administer a sedative to the client - ...ANSWER...b. B.
Contact a family member to come and sit with the client
A nurse is assisting with the orientation of a newly licensed
nurse. The newly licensed nurse is having trouble focusing
and has difficulty (completing?) care for his assigned clients.
Which of the following interventions is appropriate?
A. Offer to provide care for his clients while he takes a break
B. Advise him to complete less time-consuming tasks first
C. Ask other staff members to take over some of his tasks
D. Recommend that he take time to plan at the beginning of
his shift - ...ANSWER...D. Recommend that he take time to
plan at the beginning of his shift
A nurse is preparing to delegate bathing and turning of a
newly admitted client who has end- stage cancer to an
experienced assistive personnel (AP). Which of the following
assessments should the nurse make before delegating care?
a. is the client's family present so the AP can show them how
to turn the client?
b. Has data been collected about specific client needs related
to turning?
c. Does the AP have time to change the client9s central IV
line dressing after turning her?
d. Has the AP checked the client9s pain level prior to turning
her? - ...ANSWER...b. Has data been collected about specific
client needs related to turning?
A nurse is participating in the development of a disaster
management plan for a hospital. The nurse should recognize
that which of the following resources is the highest priority to
have available in response to a bioterrorism event?
A. A mental health specialist on the response team
b. a sufficient supply of ppe
c. a system for tracking client information
d. a network for communication between staff members and
families - ...ANSWER...b. a sufficient supply of ppe
A nurse manager observes an assistive personnel (AP)
incorrectly transferring a client to the bedside commode.
Which of the following should the nurse take first?
a. Refer the AP to the facility procedure manual
b. Demonstrate the proper client transfer technique for the
AP?
c. Instruct the AP to request assistance when unsure about a
task
d. Help the AP assist the client with the transfer -
...ANSWER...d. Help the AP assist the client with the transfer
A charge nurse making rounds observes that an assistive
personnel (AP) has applied wrist restraints to a client who is
agitated and does not have a prescription for restraints. Which
of the following actions should the nurse take first?
A. Remove the restraints from the client's wrists
B. Review the chart for nonrestraint alternatives for agitation
C. Speak with the AP about the incident
D. Inform the unit manager of the incident - ...ANSWER...A.
Remove the restraints from the client's wrists
A nurse manager is leading a discussion about ethical
dilemmas. Which of the following situations should the nurse
manager include as an example of ethical dilemma?
a. A visitor experiences a minor burn after spilling coffee
B. A client receives an operation on the wrong side of her
body
C. A parent wants her 14-year-old adolescent to receive
radiation treatment against his will
D. A nurse witnesses another nurse administer an incorrect
medication - ...ANSWER...C. A parent wants her 14-year-old
adolescent to receive radiation treatment against his will
A nurse is caring for a client who requests information about
the prevalence of Tay-Sachs disease. Which of the following
resources should the nurse use to obtain this information?
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