Podcast
Questions and Answers
Which of the following is the priority action by the charge nurse?
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)
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)
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?
Which of the following clients is safe to discharge?
Which client should the nurse recognize as the priority?
Which client should the nurse recognize as the priority?
What should the nurse's priority action be after verifying the IV pump was programmed correctly?
What should the nurse's priority action be after verifying the IV pump was programmed correctly?
Which tasks should be delegated to an assistive personnel (AP)? (Select all that apply)
Which tasks should be delegated to an assistive personnel (AP)? (Select all that apply)
Which tasks should the nurse delegate to an assistive personnel (AP)? (Select all that apply)
Which tasks should the nurse delegate to an assistive personnel (AP)? (Select all that apply)
Which newborns should the charge nurse identify as requiring priority care? (Select all that apply)
Which newborns should the charge nurse identify as requiring priority care? (Select all that apply)
Which client's medical records indicate professional negligence? (Select 2 clients)
Which client's medical records indicate professional negligence? (Select 2 clients)
Which findings indicate that the client is having an adverse reaction? (Select 6 findings)
Which findings indicate that the client is having an adverse reaction? (Select 6 findings)
What should the nurse do after a client scheduled for surgery expresses the desire to leave?
What should the nurse do after a client scheduled for surgery expresses the desire to leave?
Which action should the nurse take to verify informed consent?
Which action should the nurse take to verify informed consent?
What should the nurse tell a client with a terminal illness who is concerned about self-care after discharge?
What should the nurse tell a client with a terminal illness who is concerned about self-care after discharge?
What action is appropriate regarding a grandchild brought to the emergency department for severe abdominal pain?
What action is appropriate regarding a grandchild brought to the emergency department for severe abdominal pain?
What protective equipment should the newly licensed nurse wear when caring for a client with pulmonary tuberculosis?
What protective equipment should the newly licensed nurse wear when caring for a client with pulmonary tuberculosis?
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?
Which strategies should the nurse manager include in teaching about promoting client rights?
Which strategies should the nurse manager include in teaching about promoting client rights?
In what situation should the charge nurse intervene?
In what situation should the charge nurse intervene?
Which client care assignment should the charge nurse assign to the LPN?
Which client care assignment should the charge nurse assign to the LPN?
What action by the AP demonstrates effective time management skills?
What action by the AP demonstrates effective time management skills?
What should the nurse manager's first action be regarding an increase in urinary tract infections?
What should the nurse manager's first action be regarding an increase in urinary tract infections?
Which client should be evaluated first after an earthquake?
Which client should be evaluated first after an earthquake?
Which tasks can the nurse assign to an assistive personnel (AP)?
Which tasks can the nurse assign to an assistive personnel (AP)?
Which of the following actions should the nurse take to address a short-staffed unit?
Which of the following actions should the nurse take to address a short-staffed unit?
Which findings should the nurse note after performing a retrospective chart audit?
Which findings should the nurse note after performing a retrospective chart audit?
What action should the nurse take if a client who has abdominal pain is admitted?
What action should the nurse take if a client who has abdominal pain is admitted?
Which client should the home health nurse visit based on laboratory findings?
Which client should the home health nurse visit based on laboratory findings?
What should the nurse state to the newly licensed nurse involved in an argument with an AP about unit supplies?
What should the nurse state to the newly licensed nurse involved in an argument with an AP about unit supplies?
What leadership task is the nurse performing while presenting an in-service about preventing readmissions?
What leadership task is the nurse performing while presenting an in-service about preventing readmissions?
What communication tool should the nurse use for managing complications after a new medication is administered?
What communication tool should the nurse use for managing complications after a new medication is administered?
What action should the quality improvement team take to evaluate the effectiveness of their plan?
What action should the quality improvement team take to evaluate the effectiveness of their plan?
What statement indicates that the staff nurse understands advance directives?
What statement indicates that the staff nurse understands advance directives?
What is the best action for the nurse to take regarding a newborn being discharged?
What is the best action for the nurse to take regarding a newborn being discharged?
What actions should the charge nurse take in response to staff displeasure about new bariatric services?
What actions should the charge nurse take in response to staff displeasure about new bariatric services?
During an orientation class, which client rights should the nurse address?
During an orientation class, which client rights should the nurse address?
Which of the following conditions is a nationally notifiable infectious disease?
Which of the following conditions is a nationally notifiable infectious disease?
Which of the following actions should the charge nurse take when delegating tasks?
Which of the following actions should the charge nurse take when delegating tasks?
What finding should the nurse identify as the priority concerning a school-age child whose family is without housing?
What finding should the nurse identify as the priority concerning a school-age child whose family is without housing?
What concern is a priority for discussion at the interprofessional conference for a client who is 3 days postoperative?
What concern is a priority for discussion at the interprofessional conference for a client who is 3 days postoperative?
What action should the nurse manager identify as adhering to HIPAA guidelines?
What action should the nurse manager identify as adhering to HIPAA guidelines?
What should the newly licensed nurse understand regarding advance directives?
What should the newly licensed nurse understand regarding advance directives?
What is important to include when transferring a client to an acute-care facility?
What is important to include when transferring a client to an acute-care facility?
What should the newly licensed nurse do when performing a sterile dressing change on a client with a central venous catheter?
What should the newly licensed nurse do when performing a sterile dressing change on a client with a central venous catheter?
Which client should the nurse assess first after receiving a report?
Which client should the nurse assess first after receiving a report?
Which client should the nurse assess first after receiving report on four clients?
Which client should the nurse assess first after receiving report on four clients?
What indicates that the newly licensed nurse understands client rights on a mental health unit?
What indicates that the newly licensed nurse understands client rights on a mental health unit?
What should the nurse do when participating in the informed consent process prior to surgery?
What should the nurse do when participating in the informed consent process prior to surgery?
What should the newly licensed nurse remember regarding electronic medical records?
What should the newly licensed nurse remember regarding electronic medical records?
What instruction should the nurse include when reviewing safe use of a wheelchair?
What instruction should the nurse include when reviewing safe use of a wheelchair?
What information should the nurse present regarding healthcare law?
What information should the nurse present regarding healthcare law?
The emergency disaster plan is only implemented during large-scale emergencies.
The emergency disaster plan is only implemented during large-scale emergencies.
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.
Client Reactions and Informed Consent
- 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.
