1. b. recommend the partner place the client in a long- term care facility.

Question Answered step-by-step 1. b. recommend the partner place the client in a long- term care facility. A nurse is preparing to discharge a client who has end- stage heart failure. the client’s partner tells the nurse she can no longer handle caring for the client. which of the following actions should the nurse take?a. ask the provider to delay the client’s discharge home for a few more days.C. contact the case manager to discuss discharge options. d. request another family member assist the client’s partner with care. 2. A nurse is supervising an assisting personal (AP) who is feeding a client who has dysphagia which of the following actions by the assistant personal (AP) should the nurse identify as correct techniques? a. Withholding fluids until the end of the mealb.  instructing the client to place her chin towards her chest when swallowing c. elevating the head of the clients bed to 30 degree during mealtime d. providing a 10-minute rest period prior to meals3. A nurse has just completed assessment charting on the electronic record for an assigned client. An assistive personnel (AP) who just measured the client’s vital signs asks to chart them while the nurse is still logged into the record. Which of the following actions should the nurse take?A.   Log out so the AP can log in to document the vital signs.B.   Allow the AP to document the vital signs prior to logging outC.   Recommend the AP come back later when the record is availableD.   Offer to chart the vital signs for the AP.4. a nurse on a medical- surgical unit is evaluating an assistive personnel (AP) use of infection control precautions. which of the following actions by the AP indicates correct use of the precautions? a. the AP wears a surgical mask when caring for a client who has respiratory tuberculosis.b. the AP uses alcohol- based hand santizer after emptying the bed pan of a client who has clostridium difficile.c.The AP bundles the clean side of linen inward when changing the sheets for a client who has an infected surgical wound. D. the AP removes her gloves before leaving the room of a client who has methicillin- resistant staphylococcus aureus (MRSA). 5. A charge nurse is making room for new admissions following a community disaster which of the following clients should the nurse recommend for discharge? a. A client who has an angina and a troponin level of 3ng/ml b. a client who has a deep vein thrombosis an in INR of 2.0 c.a client who is receiving chemotherapy and has a tumor lysis syndrome d. a client who has a new onset of left sided weakness 6. a nurse is developing a discharge plan for client who is postoperative and will require a wheelchair in the home. the nurse should place a referral to which of the following resources to assist the client with this need?a. occupational therapy b.socail services c. home health physical therapy 7. a nurse is caring for a client who has been admitted and diagnosed with type 1 diabetes mellitus. the client tells the nurse she has decided to go home. which of the following actions should the nurse take?A. have the client sign the against medical advice form b. ask the client is she would like a sedative to help her relax. c. inform the client that she cannot leave without a discharge prescription from the provider. D. assign a security officer to the client’s room until the provider can speak with the client8. a nurse is caring for four clients. Which of the following clients should the nurse assess first?a. ac leint who is 24 hr postoperative following surgical reduction of hip fracture and reports a pain level of 7 on a scale from 0 to 10b. a client who has Alzheimer’s disease and bacterial pneumonia with newly onset restlessnessc. a client who is newly admitted with diabetes mellitus and who fasting blood glucose level is 200 mg/dl d. a client who is 3 days postoperative following abdominal surgery and is ready for discharge 9. a nurse is receiving a verbal prescription from the provider for a client who is having increased pain. the nurse should transcribe which of the following prescription in the client’s medical record?a. morphine sulfate 10.0 mg every 4 hours IV prn for painb. MS 10 mg IV every 4 prn for painc. MSO4 10 mg IVP q 4 prn for pain d morphine sulfate 10 mg IV q 4 h IV prn for pain 10. a nurse is caring for a client who is unconscious and whose partner is their health care surrogate. the partner wishes to discontinue the client’s feeding tube, but another family member tells the nurse that they want the client is continue receiving treatment. which of the following response should the nurse make?A. A. you should contact the provider about your wishes for your family memberB. As the health care surrogate, the client’s partner can make this decision C. You should speak with the facility’s ethics committee about your concernsD. We’ll need to have the nursing supervisor review the client’s advance directives 11. a nurse in the emergency department is performing triage for a group of clients who were in a train crash. which of the following clients should the nurse tag an emergent?a. a client who has an asymmetrical thoraxb. a client who has periorbital ecchymosis c. a client who has a deep- partial-thickness burn on the lower extremities d. a client who has an open fracture of the femur 12. a nurse manager is leading a discussion about ethical dilemmas. which of the following situations should the nurse manager include as an example of an ethical dilemma?a. a client receives an operation on the wrong side of her bodyb. a visitor experiences a minor burn after spilling coffeec. a parent wants her 14- year old adolescent to receive radiation treatment against his willd. a nurse witnesses another nurse administer an incorrect medication13. a case manager is preparing a discharge plan for a client following coronary artery bypass grafting surgery. which of the following client issues should the nurse address first? a. decreased self-esteem b. low pain tolerancec. inadequate food supplyd.Limited social support 14. a nurse is caring for a client who has cancer. the client’s adult child asks the nurse for information about the client’s treatment plan. which of the following responses should the nurse make?a. you will have to speak directly to your mother about her treatmentb. what would you like to know about your mother’s treatment?c. I will ask you mother’s primary care provider to speak with you d. I cannot provide this information to you without your mother’s consent 15. a nurse is delegating care for a group of clients. which of the following clients should the nurse assign to a licensed practical nurse? a. a client who has a myocardial infraction and will be transferring to the unit from the CCub. a newly admitted client who has sickle cell anemia and requires the development of an initial plan of care c. a client who is scheduled for an endoscopy later today and requires an enemad. A newly admitted client who has diabetes mellitus and requires initial teaching on self- administration of insulin 16. a nurse enters a client’s room to witness an informed consent for a gastroscopy. the client states he does not understand the procedure. which of the following actions should the nurse take?a. inform the provider that the client requires clarification about the procedureb. complete an incident reportc educate the client about the risks of refusing the procedurec.   Answer the client about the risks of refusing the procedured.  Answer the client’s questions concerning the procedure 17. a nurse enters the hallway and discovered a visitor looking at a client’s medical information on a computer which of the following actions should the nurse take first?a. tell the charge nurse that a visitor viewed a client’s protected health information b. close the documentation program on the computer c. inform the visitor that client records are confidential d. find out which staff members left the documentation program on the screen 18. a nurse is teaching a newly licensed nurse about implementing droplet precautions of for a client who has influenza. which of the following statements by the newly licensed nurse indicates an understanding of the teaching?a. I will wear a surgical mask within 3 feet of the client b. I will assign the client to a room with positive airflow c. I will check that the room has a high- efficiency particulate air filtration systemd. I will wear an N95 respirator when providing care for the client19. a nurse is teaching a newly-licensed nurse about client confidentiality. the nurse should include which of the following examples represents a violation of client confidentiality?a. calling the pharmacy with a prescription for the client’s partner to pick up b.informing housekeeping staff that the client is in the dialu=ysis unit c. reporting a client’s disposition the referring provider d. providing a copy of the client’s medical record to the transporting paramedic 20. a nurse is assessing a client who is post-operative following and left leg below-the- knee amputation. which of the following client statements indicates the potential need for a referral to an occupational therapist?a. I hope I can adjust to using crutches while I am recoveinrg b. I just don’t think I can handle looking at my legc. I am worried about taking care of my toddle at homed. I am not sure how I will pay for all the therapy I will need 21. 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 it with the client C.   Place the client in a wheelchair with a lap tray D.   Administer a sedative to the client.22. a nurse is preparing a teaching session with a client who speaks a different language than the nurse which of the following interventions should the nurse plan to include?a. validate understanding by interpreting the cleint’s body languageb. involve the client’s partner to assit with the teaching session. c. incorporate gestures and hand signals when presenting information d. provide an interpreter when obtaining onsent from the client 23. a nurse is preparing to complete an incident report regarding a medication error which of the following actions should the nurse plan to take? select all that applya. include the time the medication error occurs in the report b. make a copy of the incident report for personal record-keeping c. identify the medication name and dosage administered to the client in the reportd. place a copy of the completed report in the client’s medical recordd. obtain an order from the client’s provider to complete the report 24. A nurse in a long-term care facility is caring for a client who reports the assistive personnel repositioned him in bed using excessive force. Which of the following actions should the nurse take?A.   Reassure the client that the staff is well trainedB.   Contact the nurse managerC.   Document in the client’s chart that an incident report has been filedD.   Call risk management to interview the cent.  Health Science Science Nursing LEADERSHIP 2866 Share QuestionEmailCopy link Comments (0)