Podcast
Questions and Answers
What should the client be asked to explain?
What should the client be asked to explain?
The procedure that is being performed
Which statement should the nurse make to a client concerned about self-care after discharge?
Which statement should the nurse make to a client concerned about self-care after discharge?
What action should the newly licensed nurse take for a client with pulmonary tuberculosis?
What action should the newly licensed nurse take for a client with pulmonary tuberculosis?
Which resource should the nurse consult when creating a policy for nurses to insert peripherally inserted central catheters?
Which resource should the nurse consult when creating a policy for nurses to insert peripherally inserted central catheters?
Signup and view all the answers
What represents an authoritarian approach to managing increased rates of client medication errors?
What represents an authoritarian approach to managing increased rates of client medication errors?
Signup and view all the answers
What action should the nurse take first upon notification of a fire on the unit?
What action should the nurse take first upon notification of a fire on the unit?
Signup and view all the answers
Which action demonstrates sterile technique during a dressing change?
Which action demonstrates sterile technique during a dressing change?
Signup and view all the answers
What should the nurse instruct a group about safe use of wheelchairs?
What should the nurse instruct a group about safe use of wheelchairs?
Signup and view all the answers
Which task should be assigned to an LPN?
Which task should be assigned to an LPN?
Signup and view all the answers
What should the nurse do for a client uncertain about having a tubal ligation?
What should the nurse do for a client uncertain about having a tubal ligation?
Signup and view all the answers
What action should the nurse manager take if they identify an increase in ventilator-associated pneumonia?
What action should the nurse manager take if they identify an increase in ventilator-associated pneumonia?
Signup and view all the answers
What should the ethics committee do regarding a disagreement about nutritional support among family members?
What should the ethics committee do regarding a disagreement about nutritional support among family members?
Signup and view all the answers
What should the nurse do when a client with Crohn's disease wants to skip a medication dose?
What should the nurse do when a client with Crohn's disease wants to skip a medication dose?
Signup and view all the answers
Which finding is the priority among the nursing assessments?
Which finding is the priority among the nursing assessments?
Signup and view all the answers
Which client should be evaluated first in an emergency situation?
Which client should be evaluated first in an emergency situation?
Signup and view all the answers
Which client should the medical nurse be assigned?
Which client should the medical nurse be assigned?
Signup and view all the answers
Which client rights should the nurse address in orientation?
Which client rights should the nurse address in orientation?
Signup and view all the answers
What action should the quality improvement team take to evaluate the effectiveness of decreasing pressure injuries?
What action should the quality improvement team take to evaluate the effectiveness of decreasing pressure injuries?
Signup and view all the answers
Which action should the nurse manager take first regarding increased UTIs?
Which action should the nurse manager take first regarding increased UTIs?
Signup and view all the answers
What behavior might indicate that a staff nurse is working while impaired?
What behavior might indicate that a staff nurse is working while impaired?
Signup and view all the answers
What should the nurse do regarding a comatose client with a Living Will declining artificial enteral nutrition?
What should the nurse do regarding a comatose client with a Living Will declining artificial enteral nutrition?
Signup and view all the answers
What should the nurse observing a newly licensed nurse performing a sterile dressing change identify as correct?
What should the nurse observing a newly licensed nurse performing a sterile dressing change identify as correct?
Signup and view all the answers
What response should the nurse give to a 19-year-old client who does not want to continue chemotherapy after hearing her cancer has metastasized?
What response should the nurse give to a 19-year-old client who does not want to continue chemotherapy after hearing her cancer has metastasized?
Signup and view all the answers
What is the priority assessment action for a client reporting vomiting and diarrhea for the past six hours?
What is the priority assessment action for a client reporting vomiting and diarrhea for the past six hours?
Signup and view all the answers
What information should be included in the verbal report for a client three days post-open heart surgery?
What information should be included in the verbal report for a client three days post-open heart surgery?
Signup and view all the answers
What intervention should a hospice nurse include for a client without advance directives?
What intervention should a hospice nurse include for a client without advance directives?
Signup and view all the answers
Which client should the home health nurse visit first based on lab results?
Which client should the home health nurse visit first based on lab results?
Signup and view all the answers
The nurse should verify informed consent before which procedure?
The nurse should verify informed consent before which procedure?
Signup and view all the answers
Which response should the charge nurse make to the AP who feels it is unfair to care for all incontinent clients?
Which response should the charge nurse make to the AP who feels it is unfair to care for all incontinent clients?
Signup and view all the answers
Which client should the nurse recognize as the priority?
Which client should the nurse recognize as the priority?
Signup and view all the answers
Which instruction reflects effective communication regarding delegation of a task to an AP?
Which instruction reflects effective communication regarding delegation of a task to an AP?
Signup and view all the answers
What should the nurse do first when a client requests to be transferred due to delayed call light responses?
What should the nurse do first when a client requests to be transferred due to delayed call light responses?
Signup and view all the answers
If a client recovering from a stroke refuses recommended extracranial intracranial bypass surgery, what should the nurse do?
If a client recovering from a stroke refuses recommended extracranial intracranial bypass surgery, what should the nurse do?
Signup and view all the answers
Which action by a nurse requires intervention by the charge nurse?
Which action by a nurse requires intervention by the charge nurse?
Signup and view all the answers
Which client should the nurse assess first when receiving a report from the AP?
Which client should the nurse assess first when receiving a report from the AP?
Signup and view all the answers
What instruction should the nurse manager include in teaching about caring for clients following a stem cell transplant?
What instruction should the nurse manager include in teaching about caring for clients following a stem cell transplant?
Signup and view all the answers
What finding should the nurse identify as a priority for a homeless child?
What finding should the nurse identify as a priority for a homeless child?
Signup and view all the answers
What action should the charge nurse take first to address declining attendance at monthly staff meetings?
What action should the charge nurse take first to address declining attendance at monthly staff meetings?
Signup and view all the answers
What should the nurse do first when encountering several staff members looking at a celebrity client's EMR record?
What should the nurse do first when encountering several staff members looking at a celebrity client's EMR record?
Signup and view all the answers
Who should the nurse include in preoperative teaching for a client who speaks a different language?
Who should the nurse include in preoperative teaching for a client who speaks a different language?
Signup and view all the answers
What information can assist in evaluating the cost effectiveness of a client’s care after hip arthroplasty?
What information can assist in evaluating the cost effectiveness of a client’s care after hip arthroplasty?
Signup and view all the answers
Which action should the nurse plan to take for a client following total hip arthroplasty?
Which action should the nurse plan to take for a client following total hip arthroplasty?
Signup and view all the answers
What concern should be prioritized for discussion at an interprofessional conference for a post-ORIF hip client?
What concern should be prioritized for discussion at an interprofessional conference for a post-ORIF hip client?
Signup and view all the answers
Which team member should the nurse recommend for a referral for a client with osteoarthritis who reports difficulty with daily tasks?
Which team member should the nurse recommend for a referral for a client with osteoarthritis who reports difficulty with daily tasks?
Signup and view all the answers
What action indicates effective time management by a newly licensed nurse?
What action indicates effective time management by a newly licensed nurse?
Signup and view all the answers
When caring for a client requesting pain medication, what ethical principle is the nurse demonstrating by fulfilling a promise to return promptly?
When caring for a client requesting pain medication, what ethical principle is the nurse demonstrating by fulfilling a promise to return promptly?
Signup and view all the answers
What intervention should the nurse include in the discharge plan for a client who has left side weakness after a stroke?
What intervention should the nurse include in the discharge plan for a client who has left side weakness after a stroke?
Signup and view all the answers
After developing an initial discharge policy plan, what should the charge nurse do next?
After developing an initial discharge policy plan, what should the charge nurse do next?
Signup and view all the answers
Which actions should a charge nurse take regarding staff resistance to new bariatric services? (Select all that apply)
Which actions should a charge nurse take regarding staff resistance to new bariatric services? (Select all that apply)
Signup and view all the answers
Which statement by a newly licensed nurse shows understanding of client rights in a mental health unit?
Which statement by a newly licensed nurse shows understanding of client rights in a mental health unit?
Signup and view all the answers
Identify the sequence the nurse manager should follow when disciplining an employee who arrives late multiple times.
Identify the sequence the nurse manager should follow when disciplining an employee who arrives late multiple times.
Signup and view all the answers
To which community agency should the nurse refer the guardian of a newborn requiring apnea monitoring at home?
To which community agency should the nurse refer the guardian of a newborn requiring apnea monitoring at home?
Signup and view all the answers
What should the charge nurse say in response to a staff nurse who suspects a client is seeking drugs?
What should the charge nurse say in response to a staff nurse who suspects a client is seeking drugs?
Signup and view all the answers
What action should a nurse take to ensure an AP is qualified to remove a client's indwelling urinary catheter?
What action should a nurse take to ensure an AP is qualified to remove a client's indwelling urinary catheter?
Signup and view all the answers
Which staff comment indicates an understanding of confidentiality requirements?
Which staff comment indicates an understanding of confidentiality requirements?
Signup and view all the answers
How should a charge nurse approach a conflict between two nurses claiming the other is not doing fair work?
How should a charge nurse approach a conflict between two nurses claiming the other is not doing fair work?
Signup and view all the answers
What task can the nurse delegate to an AP?
What task can the nurse delegate to an AP?
Signup and view all the answers
What statement should the nurse make if a family claims the nurse failed to obtain written informed consent before a procedure?
What statement should the nurse make if a family claims the nurse failed to obtain written informed consent before a procedure?
Signup and view all the answers
What action should the charge nurse on the PACU take when the external disaster plan has been activated?
What action should the charge nurse on the PACU take when the external disaster plan has been activated?
Signup and view all the answers
What position should the charge nurse expect the newly licensed nurse to place the client in for a routine abdominal assessment?
What position should the charge nurse expect the newly licensed nurse to place the client in for a routine abdominal assessment?
Signup and view all the answers
Which action should the nurse take to verify client informed consent before outpatient surgery?
Which action should the nurse take to verify client informed consent before outpatient surgery?
Signup and view all the answers
Study Notes
Delegation and Communication
- Effective delegation requires clear communication and includes specific data collection instructions, client details, timelines, and expectations for reporting back.
- To address concerns about workload, engaging staff in discussions to reorganize workflows is more constructive than dismissive responses.
Prioritization of Care
- Prioritizing clients is crucial; those with the most critical conditions, like absent pulses in PVD, should be addressed first.
- Clients expressing distress before surgeries also require timely intervention, though their conditions may not be as acute.
Interprofessional Collaboration
- Involving interpreters for clients who speak different languages is essential in preoperative education.
- Occupational therapists can assist clients with activities of daily living (ADLs) when conditions impact their independence, such as osteoarthritis.
Client Rights and Ethical Principles
- Clients in mental health settings maintain the right to refuse medications.
- Ethical principles like fidelity emphasize the importance of keeping promises made to clients concerning their care.
Client Care Management
- Effective discharge planning includes identifying community resources and ensuring safe environments, like installing grab bars for clients with mobility issues.
- Communicating clearly the necessity of therapy sessions post-surgery can prevent complications related to immobility.
Quality Improvement and Team Dynamics
- Examining reasons behind poor meeting attendance helps address underlying issues rather than imposing mandates.
- Role modeling positive behaviors and encouraging open discussions can aid in overcoming staff resistance to changes in practice.
Confidentiality and Ethics
- Confidentiality must be upheld, and breaches should be reported immediately to maintain ethical standards in patient care.
- Guidelines state that change-of-shift reports can be conducted at the bedside, ensuring transparency while safeguarding client privacy.
Policy Development and Implementation
- Establishing clear goals and objectives prior to policy changes lays the foundation for successful implementation.
- It’s essential to consult the State Nurse Practice Act when developing policies that expand nursing roles, as this defines the professional scope of practice.
Patient Safety and Compliance
- The staff should understand the procedures that don't require written consent, like urinary catheter insertions, to streamline care.
- N95 respirators must be worn in cases of airborne infections to protect both staff and patients effectively.
Conflict Resolution
- Exploring alternative solutions collaboratively among staff experiencing conflict enhances teamwork and improves unit cohesion.
- Clear pathways for reporting issues and implementing corrective actions ensure effective conflict management.
Evidence-Based Practice
- Length of stay can provide insights into care cost-effectiveness, critical for evaluating clinical pathways.
- Consulting relevant evidence-based guidelines supports nursing decisions in practice and fosters improved patient outcomes.
Care Coordination
- After a major event like a train derailment, identifying stable patients for transfer ensures optimal resource allocation in emergency situations.
- It’s essential to coordinate resources efficiently for clients facing long-term care challenges post-discharge.### Professional Organizations
- AAN (American Association of Nurses) focuses on generating and sharing nursing knowledge to influence health policy and enhance nursing practice.
- AHRQ (Agency for Healthcare Research and Quality) operates under the U.S. Department of Health and Human Services, aimed at improving health care outcomes and quality.
Medication Errors Management
- Authoritarian strategy involves informing staff about penalties for medication errors to enforce compliance.
- Encouraging double-checking medication orders is a collaborative approach, rather than authoritarian.
Emergency Response
- In case of fire notification, the immediate action is to assist clients in danger to a safe location.
Sterile Technique
- Correct sterile technique includes placing the sterile package with the top flap opening away from the body.
Wheelchair Safety
- Important instruction when transferring patients is to raise footplates of the wheelchair.
LPN Assignments
- An LPN can be assigned to provide enteral feeding to a client with Crohn's disease.
Client Decision-Making
- When a client is uncertain about a tubal ligation, discussing their feelings about the procedure is essential.
Quality Improvement
- For increasing ventilator-associated pneumonia, notifying the quality improvement team is necessary to address the issue effectively.
Ethical Dilemma in Care
- Ethics committees assist in weighing options related to ethical dilemmas and provide guidance based on facts.
Medication Refusal
- It is crucial to inform clients about the consequences if they refuse medication, as understanding implications supports informed decision-making.
Prioritizing Client Needs
- The highest priority in assessments involves clients with shortness of breath after a femur fracture due to potential complications like DVT and pulmonary embolism.
Disaster Response
- In a mass casualty scenario, a sucking chest wound requires immediate evaluation over other injuries.
Appropriate Client Assignments
- A medical nurse can safely care for a client post-above-the-knee amputation since special care isn't needed immediately.
Client Rights
- Important rights include being treated with respect and dignity, refusing medications, leaving against medical advice, and being fully informed about health conditions.
Pressure Injury Prevention
- To evaluate the effectiveness of a pressure injury prevention plan, comparing data on skin integrity with established criteria is necessary.
Addressing Infection Rates
- Conducting a chart review provides insight into the increased incidence of UTIs, which is crucial for developing interventions.
Impaired Nurse Behavior Indicators
- Frequent restroom use may indicate a nurse is working while impaired alongside other signs such as increased errors and mood swings.
Living Will Considerations
- A living will that declines enteral nutrition should be honored, and reviewing this with the family is essential for clarity and compliance.
Sterile Dressing Change Techniques
- Correct technique includes picking up gloves by the cuff edge and monitoring sterile field guidelines.
Palliative Care Options
- When a client refuses chemotherapy, offering information about palliative care is a supportive approach.
Assessing Client Conditions
- For a client with vomiting and diarrhea, obtaining serum potassium levels is the priority assessment due to the risk of hypokalemia.
Information for Client Transfers
- Key information to transfer includes the client's level of consciousness to ensure continuity of care.
Planning for Advance Directives
- Providing information about advance directives is a critical step in planning care for clients without existing directives.
Home Health Care Prioritization
- A home health nurse should prioritize visiting a client with a platelet count of 100,000 due to the increased risk of bleeding.
Informed Consent Necessity
- It is essential to verify informed consent before proceeding with moderate sedation procedures.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your knowledge on effective leadership responses in nursing scenarios with our 2019 flashcards. This quiz focuses on communication and delegation strategies, empowering you to improve client care through teamwork and organization.
