nurse talks to the spouse of a client whose condition deteriorated…

QuestionAnswered step-by-stepnurse talks to the spouse of a client whose condition deteriorated…nurse talks to the spouse of a client whose condition deteriorated during the night. Which statement, if made by the nurse, is best?a. “The treatments don’t seem to be working, so we are trying some different ones.”b. “Your spouse had difficulty breathing last night, so we started oxygen at 4 liters.” c. “Your spouse is worse today than yesterday, so we called the health care provider.”d. “With different treatment, I believe that your spouse is going to get better.” client asks the nurse to explain his laboratory results; however, the nurse needs to assist another client first. The nurse explains that after helping the other client, she will return to discuss the laboratory values. A short while later, the nurse returns to discuss the laboratory values. Which ethical principle did the nurse demonstrate?a. Nonmaleficenceb. Beneficencec. Autonomyd. FidelityAt a recent staff meeting the chief nursing officer (CNO) announced that all nursing staff will work 12-hour shifts and a day-night rotation that will alternate every 6 weeks. The decision was made by leadership to solve scheduling and staffing conflicts. Which type of leadership is the CNO exhibiting?a. Democraticb. Managementc. Authoritariand. Laissex-faire nurse in the emergency department is triaging clients following a mass casualty event. The nurse should identify which of the following as emergent?a. A client who has multiple fractures.b. A client who has a large object object impaled into the brain and is unresponsive.c. A client who has severe neck pain.d. A client who has a punctured femoral artery.graduate of a baccalaureate nursing program is ready to start working as a registered nurse in the emergency department. Which action must the nurse take first?a. Enroll in a nurse residency programb. Obtain certification to be an emergency room nursec. Take a course in advanced life supportd. Pass the National Council Licensure ExaminationWhich of the following is an example of non-productive hours:a. Overtimeb. New nursing on unit orientationc. Paid time offd. Nurse floated to another unit to work nurse is caring for four clients who are postoperative from surgery 24 hours ago. Which client should be evaluated first?a. A client whose pain has increased to 6/10 four hours after surgeryb. A client who has a prescription for insulin and his capillary blood glucose is 160 mg/dL.c. A client whose blood pressure was 138/86 mmHg 2 hours ago and is now 102/60 mmHg.d. A client whose wound drainage at 0800 was sanguineous and now is serosanguineous. nurse is performing triage in the emergency department. Which of the following patients should the nurse see first?a. A patient reports a crushing headache. BP 160/ 100, P 76, R 18,T 98.4°F (36.9° C).b. A patient with type 1 diabetes. Blood sugar 480 mg/dL. BP 100/60, P 100, R 26,T 99.4°F (37.4° C).c. A patient with an open fracture of the left femur. BP 110/60, P 86, R 20, T 99.2°F (37.3° C).d. A patient with burns on the face, chest, and hands. BP 120/80, P 100, R 24,T 98.8°F (37° C).After receiving report, the nurse makes initial rounds on assigned clients in the medical/surgical unit. Which client should the nurse see first?a. A client with jaundiced sclera receiving interferon alfa-2b (Intron A).b. A client admitted with coffee-ground emesis is receiving IV packed red blood cells.c. A client with lower leg fracture reporting severe leg pain receiving pain medication.d. A client experienced a tonic-clonic seizure and is receiving IV diazepam (Valium).Which phone call will the home health nurse return first?a. A 66-year-old client experiences increased pain when coughing after a bilateral hernia repair.b. A 50-year-old client diagnosed with primary hypertension reports pain between the shoulder blades.c. A 45-year-old client reports leg pain after walking 2 blocks to the grocery store.d. A 60-year-old client diagnosed with rheumatoid arthritis experiences cold hands and feet during cold weather.When monitoring the productivity of any nursing unit, it is crucial to consider whether there is evidence of what critical factor?a. Quality care deliveryb. Adequate staffingc. Economic costsd. Job satisfaction of staff nurse on a quality improvement council is evaluating the results of a recently implemented program designed to reduce medication errors on the unit. Which of the following should the nurse use to evaluate the effectiveness of the program?a. Review the goals of the program and create benchmarks in order to evaluate effectiveness of the program.b. Perform random audits to determine if implementing the program on the unit was successful.c. Provide the staff with a questionnaire to determine satisfaction with the program.d. Compare the number of medication errors before and after the program was implemented.The home care nurse comes upon a multicar accident and observes 4 injured people. Which will the nurse see first?a. A 16 year-old male reporting his head hurting; respirations are irregular. Breath sounds are diminished bilaterally.b. An 18 month-old female whimpering; hematoma noted on the forehead. Her abdomen rigid but not distended.c. A 38 year-old female reporting chest pain; a large contusion and abrasion are noted on the chest.d. A 15 year-old male reporting severe leg spasms; a bone is protruding through the lower leg and is surrounded by skin and muscle contusions. nurse is caring for four clients on a medical-surgical unit. Which of the following clients should the nurse assess first?a. A client who had an indwelling urinary catheter removed 5 hours ago and has not voidedb. A client who has COPD and the capillary refill time on both hands is 4 secondsc. A client with a nasogastric tube for decompression and the gastric aspirate is green with a pH of 5.3d. A client with late-stage cirrhosis whose breath has a fruity odormedical-surgical unit is understaffed, with several of the nurses being required to stay after their shift to fulfill staffing vacancies. A month earlier, the unit had low census and many nursing shifts were cancelled. The nurse manager has received a two-week notice from one of the staff nurses. Which of the following may occurring on the unit?a. Incivilityb. Poor moralec. Loss of productivityd. Increased collaborationWhich of the following is the MOST effective strategy to implement when prioritizing nursing care?Select one:a. Provider orders by time and date orderedb. Head-to-toec. Maslow’s hierarchy of needsd. Erikson’s developmental stagesWhich of the following is an example of a HIPPA violation?a. The nurse discusses the client’s condition with the individual that has durable power of attorney for the client.b. The nurse speaks loudly with a client who has difficulty hearing.c. The nurse leaves the client’s chart open on the computer when he/she goes to grab some supplies.d. The staff holds a family conference in a private conference room.nurse is caring for a client who falls in his room. After the nurse assesses the client, notifies the client’s primary medical provider, and completes an incident report, which of the following actions should the nurse take?a. Submit the incident report to risk managementb. Document in the nursing note that an incident report has been completedc. Place the incident report in the client’s medical recordd. Make a copy of the incident report for the provider nurse accidentally administers the wrong medication to a client, which results in a severe allergic reaction and prolongs the client’s hospitalization? The client could sue the nurse for which of the following? a. Batteryb. Malpracticec. Assaultd. AbuseYou are documenting your client’s care at 12:42 in the morning. How would you document this in military time?a. 0142b. 1242c. 12:42 amd. 0042 nurse plans to leave her scheduled shift an hour early without permission. The clients in the nurse’s assignments are stable. Which of the following legal torts applies to this situation?a. Slanderb. Libelc. Negligenced. Battery nurse is providing care to a client who cannot speak. Which of the following is not an appropriate communication strategy?a. Use communication boardb. Provide pen and paperc. Only communicate by writing or pointingd. Provide visual cues nurse administers the wrong medication to a client. Which of the following is the priority action by the nurse?a. Complete an incident reportb. Call pharmacy to reportc. Observe the clientd. Call the medical provider. nursing process guides client care in which of the following manners?a. It helps nurses to make decisions about which provider orders to implement.b. It limits the number of client problems that the nurse manages at one time.c. It provides a framework to systematically develop nursing policies.d. It individualizes client care based on their priority nursing needs. nurse has assigned client care activities to an unlicensed assistive personnel. Which of the following statements by the UAP indicates a need for assistance in establishing priorities?a. “I have my assignment and will start with room 1, then work my way to room 10.”b. “I will give this client his meal try first since he is going to physical therapy early today.”c. “I will start by taking vital signs for the clients going off the unit soon for a procedure.”d. ” After breakfast, I will pack the belongings of clients who are being discharged this morning.” client is having surgery and expects to be in the hospital for 4 days. The postoperative care will involve complex wound care after discharge. When is the best time to start the discharge teaching?a. Preoperativelyb. Day of dischargec. After Discharge at homed. First Day Postoperativenurse is planing tasks to be delegated to an unlicensed assistive personnel. Which of the following tasks should the nurse delegate to the UAP?a. Bathe a client who has diabetes.b. Explain oral hygiene to a client who just started chemotherapy.c. Review a low-sodium diet for a client who has hypertension.d. Feed a client who had a stroke 2 days ago.nurse is admitting a client with visual impairment to the unit. Which of the following is the priority action to reduce the risk of injury to the client?a. Leave the light on in the room at all times.b. Describe the environment to the client.c. Speak to the client in a loud voice.d. Place the client on strict bed rest. nursing student is searching for a scholarly article for an assignment, that has been assessed for accuracy, validity, rigor and was approved for publication by experts. The student limit the search to:a. Peer-reviewedb. Review of literaturec. Abstractsd. Editorialsnurse is preparing to administer a soap suds enema to a client who has constipation. As the nurse explains the procedure, the client states, “The doctor didn’t tell me I was supposed to receive an enema.” Which of the following nursing actions is appropriate at this time?a. Check the client’s medical record for the provider’s prescription.b. Assure the client that enemas are commonly prescribed for constipation.c. Inform the charge nurse that the client refused the enema.d. Explain to the client that the provider prescribed the procedure. nurse is teaching a group of newly hired nurses about the requirements for disaster planning. Which of the following statements by one of the newly hired nurses indicates an understanding of the teaching?Select one:a. “A staff nurse can function as the incident commander.”b. “Disaster drills should be held on a regular basis.”c. “A physician must triage victims of a disaster in the emergency department.”d. “An actual disaster cannot take the place of a disaster drill.” nurse is on a risk management committee. The committee decides to complete a root-cause analysis (RCA). Which of the following rationale is the most likely reason for choosing to do a root cause analysis?Select one:a. Identify the person(s) responsible for committing the error.b. Discipline the staff involved in a patient safety event.c. Identify the systems issues that led to a sentinel event.Nursing value-added care activities include all excepta. taking vital signs b. completing an assessmentc. communication with care teamd. waiting for patient transportation patient with metastatic cancer brought his copy of Advanced Directives to the hospital in which it states his code status is a DNR. The patient suffers a cardiac arrest. The nurse advocates for the patient’s wishes by a. not performing CPRb. administers a dose of epinephrinec. listens to the patient’s wife, calls a Code and starts CPR d. increases the ventilator setting to deliver more oxygen  nurse manager knows that resource management includes all excepta. managing supplies, equipment and personnelb. important for safety and functioning of clientc. does not effect the patientd. important for employees to be able to perform at optimal level  hospital’s Disaster Planning Committee knows that examples of internal emergencies include all excepta. a water pipe breakb. terrorist actsc. loss of electricityd. a fire in the air conditioning unitAs it refers to a fire, the acronym RACE meansa. R- rescue everyone from the area; A- pull the alarm; C- contain the fire; E- extinguish the fireb. R- rescue everyone from the area; A- pull the alarm; C – call 911; E- extinguish the firec. R- run; A- pull the alarm; C- contain the fire; E- extinguish the fired. R- run; A- pull the alarm; C- coordinate the evacuation; E- extinguish the fire nurse is caring for an older adult who expresses feelings of grief. Which of the following actions is appropriate to help the client cope with his feelings of loss?Select one:a. Let the client now that this is a common finding in the aging population.b. Give the client some activities to perform so he won’t have time to dwell on the past.c. Tell the client about some of the younger clients in the hospital who have experienced loss.d. Listen attentively while the client talks about the past.Which of the following organizations calls for a health care delivery system that is safe, effective, patient-centered, timely, efficient and equitable?Select one:a. Institute of Medicineb. World Health Organizationc. Quality and Safety Education for Nursesd. National Database of Nursing Quality Indicatorsnurse is planning client care needs after receiving shift report. Which of the following client should the nurse see first?a. A client who is watching tv waiting to go to X-ray.b. A client who received pain medication 30 minutes ago.c. A client who is short of breath.d. A client who is ready for discharge waiting for transportation. nurse is caring for a client with a chronic illness who is having conflicts with spiritual beliefs. Which health care team member would be the most appropriate to include in the nursing plan of care?a. Occupational Therapyb. Social Workerc. Case Managerd. Pastoral Care nurse leader is teaching a class on torts. The nurse leader should include which of the following situations as an example of assault?a. A nurse finds a client who is on a low-sodium diet eating salted potato chips. The nurse tells the client that she will apply wrist restraints if he/she does not stop eating the potato chips.b. A client who is competent refuses an antidepressant medication. The nurse dissolves the medication in food and administers it to the client without his/her knowledge.c. A client who is alert and oriented makes an informed decision to leave the hospital against medical advice. The nurse applies wrist restraints to the client to prevent him/her from leaving.d. A nurse identifies the absence of peripheral pulsation in a casted extremity in the early morning and reports it to the provider in the after afternoon.nurse is caring for a client who is preoperative. The nurse signs as a witness on the client’s consent form. The nurse’s signature on the consent form indicates which of the following?a. Asserts the nurse has explained the risks and benefits of the procedureb. Determines the client does not have a mental illnessc. Records the client’s spouse agrees the procedure is necessaryd. Confirms the client appears competent to provide consentConvert 173.4 pounds into kilogramsa. 78.8 kgb. 80.8 kgc. 77.8d. 76.8 kg nursing student on the medical-surgical unit is using a guide that provides principles of right and wrong to provide patient care. Which of the following is the nursing student using?Select one:a. Code of Ethicsb. ANA Standards of Nursing Practicec. ANA Standards of Professional Practiced. Quality and Safety Education for Nurses (QSEN) nurse checks with the assistive personnel on the unit throughout the shift to determine if patient care tasks are being completed. The nurse is demonstrating which of the following rights of delegation?a. Right supervisionb. Right personc. Right circumstancesd. Right communicationHealth ScienceScienceNursingMGMT 440Share Question