Reference no: EM133894327
Questions
1. A nurse is caring for a cognitively impaired client who repeatedly pulls on the NG tube. Which nursing action is appropriate before requesting an order for restraints? SATA
a) Explain to the client that restraints will be applied if they continue to pull on the NG tube
b) Use electric position-sensitive device
c) Assist the client to the toilet at frequent intervals
d) Involve family in care
e) Provide diversionary activities for client
2. An experienced nurse precepts a new nurse to the unit. Which action is the most important to the preceptor mentee relationship?
a. Create a new employee schedule.
b. introduced to professional organizations in the area.
c. provide a conference scheduled to begin obtaining continuing education credits.
d. assess and adjust to the work environment.
3. The case manager is discussing a client's plan of care. Which statement by the case manager best described critical pathways?
They decreased the amount of paperwork required for reimbursement.
They provide a means of standardizing care for clients with similar diagnosis.
They create ways to reduce administrative costs.
they determined justifiable differences among clients.
4. Staff educator is planning an educational program to improve the competence of the staff on the telemetry unit in interpreting ECG. Which action is the first step the educator should take while developing the educational plan?
Develop a schedule that allows both day and night shift nursing staff to attend educational offerings.
identify significant arrhythmias that nursing staff should be able to recognize.
make resources on ECG interpretation available for nursing staff on the unit.
solicit feedback from the nursing staff regarding the current competence of interpreting EKG.
5. A nurse's care for a group of clients. Which clients need a social worker referral? SATA
A client that requests to secure an emergency notification system in the home.
a client that requests to get school assignments while hospitalized on a pediatric unit.
a client that requests to obtain information on the adverse effect of antidepressant medication therapy.
a client that requests to receive additional instruction on breastfeeding prior to discharge.
a client that requires placement in the assistive living facility
6. The nurse is giving report to the next shift and is using the situation, background, assessment, recommendation (SBAR) framework ...... this statement reflects the B portion of the S bar?
He is four days post operative, and his incision is open to air.
We need an order for oxygen.
I'm worried that his GI bleeding is getting worse.
my name is Miss Smith and I'm giving the report on miss X and room 1104.
7. A nurse is assisting with triaging clients following an explosion. Which of the following clients should the nurse identify as the highest priority?
A conscious adult client with second degree burns on both lower legs respiratory rate is > 30/minutes.
an unconscious 6-month-old infant with no respiratory no visible injuries
A conscious adult client wearing a medic alert diabetic bracelet client report feeling clammy and shaky.
an unconscious adult client with a large head wound with gray matter exposed absent respirations.
8. A nurse is planning care for the client who has dysphagia following a stroke. Which referral should the nurse initiate?
Respiratory therapy
physical therapy
social services
speech therapy
9. A nurse is caring for a client with neutropenia. Which interventions should the nurse implement? SATA
Monitor temperature every four hours.
remove fresh flowers and potted plants from the room.
do not allow visits from family members who are ill.
ensure all visitors and staff maintain good hand hygiene.
limit fluid intake
10. A nurse case manager is preparing to discharge several clients. Which client should the nurse refer to from home's health services?
A client that has bacterial endocarditis and has been receiving IV antibiotic therapy for 24 hours.
A client that has aspiration pneumonia and has been receiving respiratory therapy for two days.
A client that has renal cancer and has been receiving IV chemotherapy for three days.
A client who has abdominal pain of unknown origin and has five days postoperative following a laparotomy.