Reference no: EM133280339

Questions

1. A client who is febrile is admitted to the hospital for treatment of pneumonia. In accordance with the care pathway, antibiotic therapy is prescribed. Which of the following situations require the nurse to complete a variance report with regard to the care pathway?

Antibiotic therapy was initiated two hours after implementation of the care pathway.

An allergy to penicillin required an alternative antibiotic to be prescribed.

A blood culture was obtained after antibiotic therapy had been initiated.

The route of antibiotic therapy on the care pathway was changed from IV to PO.

2. A charge nurse is teaching a group of nurses about the purpose of a living will. Which of the following information about living will should the charge nurse include in the teaching? check

Designates a health care surrogate to make healthcare decisions.

Addresses resuscitation measures

Provides protection against malpractice.

Documents that the client give informed consent.

3. A charge nurse is teaching a newly licensed nurse about hazardous and infectious materials. Which of the following situations should the nurse include as a safe handling technique?

A nurse disconnects an indwelling urinary catheter from the drainage bag to

collect a specimen.

A nurse places a mask on a client with tuberculosis before transport to the radiation department.

A nurse removed her gown after leaving the client's room

4. A nurse is planning discharge for a client who has a lung resection. The nurse initiate a referral for a social worker. Which of the following assessment data supports this referral? check

The client needs to arrange financial resources to purchase equipment.

The client needs to have a range of motion exercises to assist with ambulation.

The client needs to have someone bring oxygen tanks and equipment to her home.

The client needs to have someone come in and help her bathe at home.

5. A nurse manager discovers there is a conflict between nurses working dayshift and nurses working the night shift. Which of the following actions should the nurse manager take for it? cjeck

Gather information regarding the situation.

Acknowledge the conflict and encourage the nurses to focus on working as a team.

Meet with a committee of nurses from each shift to discuss issues related to the conflict.

Encourage the nurses to resolve the conflict autonomously

6. A nurse is preparing to delegate bathing and turning off a newly admitted client who has end-stage bone cancer to experienced assistive personnel. Which of the following assessments should the nurse make before delegating care? check

Has Data been collected about specific client needs related to turning

Has the AP checked the clients pain level prior to turning her

Is the client's family presents so the AP can show them how to turn the clients.

Does the AP have time to change the client central IV-line dressing after turning her

7. A nurse is providing change of shift report for an oncoming nurse. Which of the following information should the nurse include in the report

The client is in the radiology department for a chest x-ray.

The client is the president of a local bank.

The clients partner came to visit him two hours

8. A nurse from the labor and delivery unit is assigned to float to a medical surgical unit which of the following actions should the nurse take first?

a. Clarify competencies with the medical surgical charge nurse

b. inform the nursing supervisor of the lack of experience on the medical surgical unit

c. Request orientation to the medical surgical unit

d. refer to the assigned resource nurse regarding client assignments

9. A nurse witnesses a coworker not following facility procedure with discarding the unused portion of control substances, which of the following actions should the nurse take? (select all that apply)

a. File an anonymous report of the incident to the nurse manager

b. identify all witnesses to the incident

c. request that the co-worker complete an incident report

d. document a factual account of the incident

e. submit an incident report to the risk management

10. . A Charge nurse is planning to evacuate clients on the unit because there is a fire on another floor. Which of the following clients should the nurse evacuate first?

a. A client who is 1-day post-operative following thoracic surgery and has a chest tube

b. A client who is confused and restrained for safety

c. A client who is receiving IV chemotherapy and is ambulatory ????

d. A client who is in Bucks traction for a hip Fracture