RN Leadership 2023 A Flashcards & Quiz

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Questions and Answers

Which of the following is the priority action by the charge nurse?

Initiate a code blue

Notify the physician

Document the incident

Instruct ambulatory clients to go to a safe area (correct)

Which of the following actions should the nurse take when making client care assignments? (Select all that apply)

Delegate provider prescription received for client 3 to a practical nurse (correct)

Delegate provider prescription received for client 4 to an assistive personnel (correct)

Delegate provider prescription received for client 1 to a registered nurse (correct)

Delegate provider prescription received for client 2 to a practical nurse

Which of the following findings indicate that a referral for a speech pathologist is needed? (Select all that apply)

Cough findings (correct)

Speech coordination findings (correct)

Observation of food pocketing (correct)

Vocal characteristics during mealtime (correct)

Which of the following clients is safe to discharge?

A client who has multiple sclerosis and reports ataxia Signup and view all the answers

Which client should the nurse recognize as the priority?

A client with peripheral vascular disease and an absent pulse in the right foot Signup and view all the answers

What should the nurse's priority action be after verifying the IV pump was programmed correctly?

Tag the pump for maintenance and acquire a new pump for the client Signup and view all the answers

Which tasks should be delegated to an assistive personnel (AP)? (Select all that apply)

Ambulating a client who uses a walker Signup and view all the answers

Which tasks should the nurse delegate to an assistive personnel (AP)? (Select all that apply)

Apply barrier cream to the client's buttocks Signup and view all the answers

Which newborns should the charge nurse identify as requiring priority care? (Select all that apply)

Newborn 3 Signup and view all the answers

Which client's medical records indicate professional negligence? (Select 2 clients)

Client 4 Signup and view all the answers

Which findings indicate that the client is having an adverse reaction? (Select 6 findings)

Heart rate Signup and view all the answers

What should the nurse do after a client scheduled for surgery expresses the desire to leave?

Inform the client about the risks they may encounter by leaving the facility Signup and view all the answers

Which action should the nurse take to verify informed consent?

Ask the client to explain the procedure that is being performed Signup and view all the answers

What should the nurse tell a client with a terminal illness who is concerned about self-care after discharge?

"Your case manager will coordinate the resources you will need." Signup and view all the answers

What action is appropriate regarding a grandchild brought to the emergency department for severe abdominal pain?

Have the grandparent sign the consent form Signup and view all the answers

What protective equipment should the newly licensed nurse wear when caring for a client with pulmonary tuberculosis?

Wear an N95 respirator mask when in the client's room Signup and view all the answers

To which community agency should the nurse refer the guardian of a newborn requiring apnea monitoring at home?

Home health Signup and view all the answers

Which strategies should the nurse manager include in teaching about promoting client rights?

Verify that a provider prescription is in the medical record for clients who have restraints Signup and view all the answers

In what situation should the charge nurse intervene?

An LPN develops the nursing plan of care for a client who has pneumonia Signup and view all the answers

Which client care assignment should the charge nurse assign to the LPN?

Reinforcing teaching to a client Signup and view all the answers

What action by the AP demonstrates effective time management skills?

Grouping activities for several clients in the same location Signup and view all the answers

What should the nurse manager's first action be regarding an increase in urinary tract infections?

Perform a chart review to gather data about the clients who developed infections Signup and view all the answers

Which client should be evaluated first after an earthquake?

A client who has a sucking chest wound Signup and view all the answers

Which tasks can the nurse assign to an assistive personnel (AP)?

Assist a client with showering Signup and view all the answers

Which of the following actions should the nurse take to address a short-staffed unit?

Assign the procedure to a licensed practical nurse (LPN) Signup and view all the answers

Which findings should the nurse note after performing a retrospective chart audit?

Adherence to standard postoperative vital sign measurement Signup and view all the answers

What action should the nurse take if a client who has abdominal pain is admitted?

Completing the client's initial admission assessment Signup and view all the answers

Which client should the home health nurse visit based on laboratory findings?

A client who is 3 days postoperative and has a platelets count of 100,000/mm3 Signup and view all the answers

What should the nurse state to the newly licensed nurse involved in an argument with an AP about unit supplies?

"I would like for you to approach the AP to resolve the problem." Signup and view all the answers

What leadership task is the nurse performing while presenting an in-service about preventing readmissions?

Advocacy Signup and view all the answers

What communication tool should the nurse use for managing complications after a new medication is administered?

SBAR framework Signup and view all the answers

What action should the quality improvement team take to evaluate the effectiveness of their plan?

Compare data from clients' records regarding skin integrity with established criteria Signup and view all the answers

What statement indicates that the staff nurse understands advance directives?

"A family member of a client can have the living will overturned in some cases." Signup and view all the answers

What is the best action for the nurse to take regarding a newborn being discharged?

Observe the parent securing the newborn into the infant care seat in the parent's car Signup and view all the answers

What actions should the charge nurse take in response to staff displeasure about new bariatric services?

Role model a positive approach to the changes Signup and view all the answers

During an orientation class, which client rights should the nurse address?

The right to refuse their medications Signup and view all the answers

Which of the following conditions is a nationally notifiable infectious disease?

Chlamydia trachomatis Signup and view all the answers

Which of the following actions should the charge nurse take when delegating tasks?

Assign the procedure to an LPN Signup and view all the answers

What finding should the nurse identify as the priority concerning a school-age child whose family is without housing?

The child has red fissures at the corners of the mouth Signup and view all the answers

What concern is a priority for discussion at the interprofessional conference for a client who is 3 days postoperative?

The client refuses to attend physical therapy sessions Signup and view all the answers

What action should the nurse manager identify as adhering to HIPAA guidelines?

A nurse shares a client's test results with an AP on the same nursing team Signup and view all the answers

What should the newly licensed nurse understand regarding advance directives?

There must be documentation in the medical record about whether a client has advance directives Signup and view all the answers

What is important to include when transferring a client to an acute-care facility?

List of current medications Signup and view all the answers

What should the newly licensed nurse do when performing a sterile dressing change on a client with a central venous catheter?

Pick up the first sterile glove by grasping the folded cuff edge Signup and view all the answers

Which client should the nurse assess first after receiving a report?

A client who is postoperative following a total knee arthroplasty and has a capillary refill of 4 seconds Signup and view all the answers

Which client should the nurse assess first after receiving report on four clients?

A client admitted for a fractured hip who has developed slurred speech Signup and view all the answers

What indicates that the newly licensed nurse understands client rights on a mental health unit?

"Clients on a mental health unit can refuse their medication." Signup and view all the answers

What should the nurse do when participating in the informed consent process prior to surgery?

Review previously provided information about the procedure Signup and view all the answers

What should the newly licensed nurse remember regarding electronic medical records?

"My access to client electronic records might be tracked by my nurse manager." Signup and view all the answers

What instruction should the nurse include when reviewing safe use of a wheelchair?

Raise the footplates of the wheelchair before transferring the client Signup and view all the answers

What information should the nurse present regarding healthcare law?

The Patient Self-Determination Act (PSDA) requires a nurse to give clients information about end-of-life options Signup and view all the answers

The emergency disaster plan is only implemented during large-scale emergencies.

False Signup and view all the answers

Study Notes

Client Discharge and Care Priorities

Safe discharge criteria for clients following community disasters prioritize stable patients; a client with multiple sclerosis reporting ataxia is considered stable.
In a medical-surgical unit, clients with peripheral vascular disease and absent pulses must be assessed immediately for priority care.

Equipment and Delegation

When an IV pump malfunctions, priority is tagging it for maintenance and acquiring a new pump, ensuring client safety.
Delegation of tasks like ambulating clients and preparing food trays for those with thickened liquids can be assigned to assistive personnel (AP).
Tasks suitable for AP include placing absorbent pads, reporting vital signs, and applying barrier creams.

Newborn Care and Incident Reports

Charge nurses must identify priority care newborns; specific newborns may require immediate attention based on current conditions.
Evidence of professional negligence can be indicated through incident reports; specific client records may show compliance issues.

Adverse reactions to treatment require monitoring vital signs and reporting findings to the healthcare provider.
Informed consent for surgery can be verified by asking the client to explain the procedure they're undergoing.

Collaborative and Advocacy Roles

Case managers facilitate resources for terminally ill clients concerns about self-care after discharge, indicating a supportive role.
Grandparents can sign consent forms for minors when parents are unavailable, ensuring legal compliance.

Infection Control and Emergency Preparedness

Staff must use an N95 respirator when caring for clients with pulmonary tuberculosis to control infection spread.
In case of a disaster, home health services are crucial for monitoring newborns requiring apnea monitoring.

Client Rights and Ethical Practices

Client rights in healthcare include informed decision-making, the right to refuse treatment, and respect for dignity.
Nurses should ensure adherence to advance directives and HIPAA guidelines, such as sharing information only with authorized personnel.

Quality Improvement and Risk Management

To reduce urinary tract infections, initial actions should include chart reviews to assess infection incidence and contributing factors.
Staff adherence to postoperative protocols can be assessed through retrospective chart audits.

Communication and Professional Development

Effective communication tools like the SBAR framework aid nurses in managing medication reactions and facilitating interdisciplinary discussion.
Newly licensed nurses should prioritize ongoing education in areas like electronic medical records management and patient advocacy.

Safety Measures and Emergency Response

Ensuring newborn safety upon discharge includes verifying proper securing in car seats before leaving the hospital.
During fire emergencies, charge nurses must guide ambulatory clients to safety, ensuring their immediate protection.

Client Care Assignments and Delegation Strategies

LPNs can handle tasks like reinforcing client teaching while APs may perform basic care activities under RN supervision.
Client care assignments should align with staff qualifications and scope of practice, confirming adherence to healthcare standards.

Special Considerations in Diverse Populations

For clients with language barriers, using dictionaries and bilingual staff ensures effective communication and understanding of medical procedures.

Handling Complex Situations

In cases of potential readmissions, proactive discussions among interdisciplinary teams prioritize planning for the client's ongoing care needs.
Monitoring clients postoperatively involves immediate assessments, especially for vital signs and neurological status.

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Test your knowledge with these flashcards covering RN leadership principles and client management scenarios. Perfect for nursing students and professionals preparing for leadership roles in healthcare. Sharpen your decision-making skills in critical situations involving client discharge and care prioritization.

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