Case Study Management of an Oncology Unit – Flashcards
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How should Ms. Lo Respond?
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I need you to find the reports as quickly as possible.
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Which action should the charge nurse implement in response to this information?
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Contact the healthcare provider immediately to report the lab test results verbally.
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What is the best response by the charge nurse?
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You may obtain data from the charts until the staff nurse assigned to your client has time to give report.
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A PN may be assigned to care for a client with which nursing diagnosis?
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Impaired physical mobility related to arthritis.
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Which of the clients experiencing pain management problem is the most appropriate assignment for the PN?
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Complaining of constipation after using opioid analgesics for 1 week.
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What actions should Ms. Lo implement first?
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Observe the suspected abuser's behavior to confirm the nurse's suspicions.
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How should Ms. Lo respond?
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Random drug testing protects all the staff and clients from unsafe practice.
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Which client care assignment makes use of this nurse's expertise?
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Monitor a client with thrombocytopenia receiving platelets.
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Which client should be assigned to the RN rather than the PN?
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Unwilling to observe his new ileostomy stoma and pouch.
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Which client care activity should be assigned to the PN from the float pool?
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Provide postmortem care.
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What action should the charge nurse implement?
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Review the tasks assigned to the UAP to help determine priorities.
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How should Ms. Lo respond?
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Allow the student to assist the PN with postmortem care, but remind him that the UAP may not delegate client care.
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Which task can be delegated to the UAP who is assisting the nurse in the performance of tracheostomy care?
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Apply the oxygen mask over the tracheostomy.
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What action should Ms. Lo implement?
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Return to the client's room with the student and explain the meaning of the DNR status to the client.
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After speaking with the client about the change in DNR status, what action should the charge nurse initiate first?
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Notify the healthcare provider of the client's wishes.
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What action should the charge nurse implement first?
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Page the emergency response team.
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Which instruction is most important to emphasize with the primary RN caring for the client?
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Perform circulation checks every 15 minutes and report any changes.
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What management error has just occurred?
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The RN delegated care to the UAP which should have been performed by the RN.
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Which action should Ms. Lo take first?
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Assign a RN to assess a newly admitted client diagnosed with brain cancer.
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What action by the charge nurse has the greatest priority?
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Advise the primary nurse that a new admission will be arriving shortly.
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With whom should Ms. Lo collaborate to revise the nursing plan of care for this man's mother?
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The hospital chaplain.
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Which action should the charge nurse implement?
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Provide a list of hospices that are available in the area.