Podcast
Questions and Answers
What is the correct order of the stages of conflict?
What is the correct order of the stages of conflict?
Which of the following should the nurse recommend as a qualitative research method?
Which of the following should the nurse recommend as a qualitative research method?
Which statement by the client indicates an understanding of the Patient Protection and Affordable Care Act?
Which statement by the client indicates an understanding of the Patient Protection and Affordable Care Act?
Which statement should the nurse make to a client deciding on a plan of treatment for breast cancer?
Which statement should the nurse make to a client deciding on a plan of treatment for breast cancer?
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Which statement should the nurse include when reviewing the components of surgical informed consent?
Which statement should the nurse include when reviewing the components of surgical informed consent?
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Which statement indicates an understanding of incident reports by a newly licensed nurse?
Which statement indicates an understanding of incident reports by a newly licensed nurse?
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Which response should the nurse make to a child of a client with Alzheimer's disease who is expressing distress?
Which response should the nurse make to a child of a client with Alzheimer's disease who is expressing distress?
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Which assessment finding should the nurse recognize as priority to report?
Which assessment finding should the nurse recognize as priority to report?
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Which statement should the charge nurse make to the newly hired nurse who consistently does not finish client care tasks?
Which statement should the charge nurse make to the newly hired nurse who consistently does not finish client care tasks?
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Which leadership task is the nurse manager performing while preventing readmissions due to complications following joint arthroplasty?
Which leadership task is the nurse manager performing while preventing readmissions due to complications following joint arthroplasty?
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Which tasks should be delegated to assistive personnel (AP)? (Select all that apply)
Which tasks should be delegated to assistive personnel (AP)? (Select all that apply)
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What is the priority action of the charge nurse when a fire alarm is heard?
What is the priority action of the charge nurse when a fire alarm is heard?
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What action should the nurse manager take when sending home a nurse who is chemically impaired?
What action should the nurse manager take when sending home a nurse who is chemically impaired?
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Which client should the nurse assess first during change-of-shift report?
Which client should the nurse assess first during change-of-shift report?
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What action should the nurse take to advocate for a client who has renal failure who wants to stop hemodialysis?
What action should the nurse take to advocate for a client who has renal failure who wants to stop hemodialysis?
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Which action is the nurse manager's priority while planning daily work and activities for the unit?
Which action is the nurse manager's priority while planning daily work and activities for the unit?
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What statement by the AP indicates an understanding of caring for a client who has a DNR order?
What statement by the AP indicates an understanding of caring for a client who has a DNR order?
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Which strategy should the nurse manager include in teaching about promoting client rights?
Which strategy should the nurse manager include in teaching about promoting client rights?
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Which client is safe to discharge during a massive community disaster?
Which client is safe to discharge during a massive community disaster?
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What action should the nurse take upon overhearing two staff members discussing a client's care?
What action should the nurse take upon overhearing two staff members discussing a client's care?
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Which statement is an example of using the conflict resolution strategy known as smoothing?
Which statement is an example of using the conflict resolution strategy known as smoothing?
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Which statement indicates an understanding of telephone prescription guidelines by a newly licensed nurse?
Which statement indicates an understanding of telephone prescription guidelines by a newly licensed nurse?
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Which action demonstrates that the nurse is practicing ethically while caring for a terminally ill client?
Which action demonstrates that the nurse is practicing ethically while caring for a terminally ill client?
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Which client requires droplet precautions?
Which client requires droplet precautions?
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Which condition is considered a nationally notifiable infectious disease?
Which condition is considered a nationally notifiable infectious disease?
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What should the first step be in addressing an increase in health care-associated UTIs?
What should the first step be in addressing an increase in health care-associated UTIs?
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What should the nurse say to a client who wants to wait on rotator cuff surgery?
What should the nurse say to a client who wants to wait on rotator cuff surgery?
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Which statement by the client indicates an understanding of advance directives?
Which statement by the client indicates an understanding of advance directives?
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Which of the following clients should the nurse request the provider to assess first?
Which of the following clients should the nurse request the provider to assess first?
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After notifying the surgeon about a client wanting to leave the hospital, which action should the nurse take next?
After notifying the surgeon about a client wanting to leave the hospital, which action should the nurse take next?
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Which of the following information should the nurse include in the teaching about critical pathways?
Which of the following information should the nurse include in the teaching about critical pathways?
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Which action should the nurse take to validate that the client understands the procedure for which they have signed an informed consent?
Which action should the nurse take to validate that the client understands the procedure for which they have signed an informed consent?
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What action should the nurse take to ensure care is provided according to policy regarding pain assessment?
What action should the nurse take to ensure care is provided according to policy regarding pain assessment?
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Before discharge for a client needing daily home IV antibiotics, which action should the case manager perform?
Before discharge for a client needing daily home IV antibiotics, which action should the case manager perform?
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What should a nurse do when documentation of client discharge teaching is below the expected benchmark?
What should a nurse do when documentation of client discharge teaching is below the expected benchmark?
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Which statement indicates the newly licensed nurse understands the facility's policies regarding electronic medical records?
Which statement indicates the newly licensed nurse understands the facility's policies regarding electronic medical records?
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Which action should a charge nurse take if a client has a prescription for a wound irrigation twice per day?
Which action should a charge nurse take if a client has a prescription for a wound irrigation twice per day?
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What is the appropriate action for a staff nurse who detects alcohol on a colleague's breath?
What is the appropriate action for a staff nurse who detects alcohol on a colleague's breath?
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What should an RN do first after receiving an abnormal blood pressure reading from an LPN for a postoperative client?
What should an RN do first after receiving an abnormal blood pressure reading from an LPN for a postoperative client?
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How should a nurse maintain client confidentiality?
How should a nurse maintain client confidentiality?
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Which strategies should be used in the annual performance review process for a staff nurse?
Which strategies should be used in the annual performance review process for a staff nurse?
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Which statement indicates that a newly licensed nurse understands electronic medical records?
Which statement indicates that a newly licensed nurse understands electronic medical records?
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Which statement provides the right direction of communication to assistive personnel (AP) regarding tasks?
Which statement provides the right direction of communication to assistive personnel (AP) regarding tasks?
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If a nurse finds that a client has not received a dose of warfarin in 2 days, what should be the first action?
If a nurse finds that a client has not received a dose of warfarin in 2 days, what should be the first action?
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What should the charge nurse do to collect information on staff adherence to standards for postoperative vital sign measurement?
What should the charge nurse do to collect information on staff adherence to standards for postoperative vital sign measurement?
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Which statement reflects an intrapersonal conflict as recognized by the charge nurse?
Which statement reflects an intrapersonal conflict as recognized by the charge nurse?
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What actions indicate a newly licensed nurse understands how to use an aquathermia pad?
What actions indicate a newly licensed nurse understands how to use an aquathermia pad?
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For a client with rheumatoid arthritis who has difficulty buttoning clothing, which referral should the nurse recommend?
For a client with rheumatoid arthritis who has difficulty buttoning clothing, which referral should the nurse recommend?
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In a presentation on health care law, which information should the nurse include?
In a presentation on health care law, which information should the nurse include?
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Which task can a nurse assign to assistive personnel (AP)?
Which task can a nurse assign to assistive personnel (AP)?
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What action should the nurse take after attempting to notify the provider regarding a client with a potassium level of 3.2 mEq/L?
What action should the nurse take after attempting to notify the provider regarding a client with a potassium level of 3.2 mEq/L?
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Which tasks should the charge nurse delegate to assistive personnel (AP) when planning assignments for the upcoming shift?
Which tasks should the charge nurse delegate to assistive personnel (AP) when planning assignments for the upcoming shift?
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What should the charge nurse ensure is part of the care plan for a client receiving a continuous NG tube feeding?
What should the charge nurse ensure is part of the care plan for a client receiving a continuous NG tube feeding?
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Which client should the nurse assess first if they have just received report on four clients?
Which client should the nurse assess first if they have just received report on four clients?
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What action should the nurse take for a postoperative client with PCA exhibiting restlessness, an elevated pulse, and decreased blood pressure?
What action should the nurse take for a postoperative client with PCA exhibiting restlessness, an elevated pulse, and decreased blood pressure?
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Which communication tool should the nurse use for managing complications from a new medication?
Which communication tool should the nurse use for managing complications from a new medication?
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Which statement by a newly licensed nurse indicates understanding of mechanical restraints use?
Which statement by a newly licensed nurse indicates understanding of mechanical restraints use?
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What must the RN perform upon the admission of a client with abdominal pain?
What must the RN perform upon the admission of a client with abdominal pain?
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When reviewing a nurse's response to a fire in a room, which action should confirm appropriate procedures were followed?
When reviewing a nurse's response to a fire in a room, which action should confirm appropriate procedures were followed?
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Study Notes
Emergency Triage
- Prioritize clients based on severity: asymmetrical thoracic movement in a client with arm contusions is critical.
- Peripheral paresthesia indicates possible nerve or vascular damage but is less urgent than respiratory compromise.
Patient Autonomy and Risks
- Inform clients about risks before they decide to leave hospital care against medical advice (AMA).
- Documentation of patient statements is vital for legal reasons but should follow risk assessment.
Critical Pathways in Nursing
- Critical pathways aim to prevent unnecessary expenses rather than promote individualized care.
- They help streamline processes, thus reducing administrative workload.
Informed Consent Validation
- Nurses should confirm client understanding by having them verbalize the procedure’s purpose, risks, and benefits.
Reporting Issues
- If pain assessments are not conducted, issues should be reported to nursing management to ensure compliance with policies.
Discharge Planning for Infection
- Ensuring home infusion therapy is arranged is critical before discharging a patient requiring daily IV antibiotics.
Performance Improvement Audits
- Identify barriers to documentation of client education before implementing training or incentives.
Electronic Medical Records
- Nurses should secure electronic information by turning off monitors when not in use and safely disposing of printed materials.
Task Delegation
- Licensed Practical Nurses (LPNs) can be assigned tasks like wound irrigation, while Assistive Personnel (AP) can perform basic care under supervision.
- Nurses should ensure APs understand the tasks related to client monitoring and reporting.
Managing Substance Abuse
- Immediate reporting of suspected impaired colleagues is necessary to ensure patient safety.
- Do not confront the suspected nurse directly; instead, notify management.
Client Care Prioritization
- Assess clients with poor capillary refill first, signaling potential circulatory issues after surgery.
Client Confidentiality
- Protect client information by refusing to disclose test results without consent and ensuring names are used appropriately in educational contexts.
Performance Evaluations
- Incorporate peer evaluations and self-appraisals for a comprehensive review process.
Understanding Electronic Medical Records
- Access to electronic records may be monitored to maintain accountability among staff.
Communication with Assistive Personnel
- Clear communication is essential; APs should provide information in a way that allows for proper client care (e.g., tracking voiding times).
Medication Administration Oversight
- Review INR levels when clients miss doses of anticoagulants to assess potential complications.
Evaluating Adherence to Protocols
- Utilize chart audits to verify compliance with established protocols for postoperative care.
Conflict Resolution Stages
- Understand stages of conflict:
- Latent Conflict: Awareness of potential issues
- Perceived Conflict: Discussion of issues without emotional involvement
- Felt Conflict: Personal involvement in the conflict
- Manifest Conflict: Active engagement in dispute
- Conflict Aftermath: Recognition of the outcomes and learning.
Qualitative Research Methods
- Recommend phenomenology for understanding client experiences and improving community health outcomes.
Patient Protection and Affordable Care Act
- Key rights include the removal of lifetime coverage limits and coverage for pre-existing conditions; young adult children can remain on their parent's plans until age 26.### Treatment Discussions
- Discuss benefits of treatment options with clients to encourage informed decisions.
- Emphasize importance of following healthcare provider recommendations.
Surgical Informed Consent
- Surgeons must explain the procedure to clients.
- Nurses must ensure clients comprehend the information provided.
- Important to disclose risks involved in procedures, even if not life-threatening.
Incident Reports
- Incident reports are necessary for unexpected occurrences.
- Documentation of incident completion should not be included in the client's medical record.
Support for Family Caregivers
- Offer options for respite care to family members managing severe caregiver stress.
Prioritizing Patient Assessment
- Key assessment: 2 days post-operative client with low urine output, indicating potential complications.
Effective Shift Planning
- Encourage nurses to plan their day at the beginning of shifts to ensure task completion.
Role of Nurse Manager
- Advocacy is crucial in nursing, especially when discussing patient care and needs.
Delegation of Tasks
- Tasks suitable for assistive personnel (AP) include client ambulation and modifying food consistency.
Fire Emergency Protocol
- Instruct ambulatory clients to evacuate during a fire alarm as the priority action.
Addressing Chemical Impairment
- Timely meetings with chemically impaired staff are essential for addressing concerns.
Client Care Prioritization
- Assess post-operative clients with elevated heart rates urgently to prevent deterioration.
Advocacy for Patient Decisions
- Support clients' choices regarding treatment and respect their autonomy.
Assignment of Client Care
- Assigning client care to staff should be the primary concern of the nurse manager.
Understanding DNR Orders
- In the event of not detecting a pulse, staff must call the nurse instead of initiating CPR.
Promoting Client Rights
- Verification of provider prescriptions for clients under restraint is imperative for patient rights.
Safe Discharge Criteria
- Stable clients, like those with multiple sclerosis reporting ataxia, can be safely discharged.
Breach of Confidentiality
- Report any staff discussions regarding client care to the nurse manager for resolution.
Conflict Resolution in Nursing
- Acknowledging staff strengths helps resolve conflicts and reinforces team confidence.
Telephone Prescription Guidelines
- Nurses must repeat prescriptions back to providers for accuracy.
Ethical End-of-Life Care
- Discussing end-of-life care goals with clients demonstrates ethical nursing practice.
Infection Control Protocols
- Droplet precautions are necessary for clients diagnosed with pertussis.
Nationally Notifiable Infectious Diseases
- Chlamydia trachomatis is classified as a nationally notifiable infectious disease.
Quality Improvement in Healthcare
- Establishing best practice guidelines is the first step to reduce urinary tract infections in healthcare facilities.
Patient Decision-Making
- Nurses should inform providers of patient decisions regarding postponing surgical procedures.
Understanding Advance Directives
- Advance directives can be modified and outline patient wishes regarding medical treatments.
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Description
Test your knowledge on triage and emergency nursing practices with these flashcards. This quiz focuses on assessing prioritization in emergency situations for nursing students. Use it to prepare for clinical practice and leadership roles in nursing.
