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Rn is planning assignments for 5 clients on the nursing unit. the team includes a LPN and a nursing assistant. which clients should the nurse assign to the LPN?

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1. a client w/ a colostomy who requires reinforcement regarding the procedure for irrigation 2. a pt w/ DM who requires the administration or regular insulin in accordance w/ a sliding dosage scale every 4 hrs

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A client scheduled for surgery tells the nurse that he signed an informed consent for the surgical procedure but was never told about the risks of the surgery. The nurse serves as the client's advocate by:

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calling surgeon and asking that the risks be explained to the client

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A nurse is preparing the client assignments for the day. One of the nurses on the team has just learned that she is pregnant. Which client does the nurse refrain from assigning to the pregnant team member?

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a client w/ a solid sealed cervical radiation implant

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A RN is supervising a nursing assistant ambulating a client with right-sided weakness. The RN would conclude that the nursing assistant is performing the procedure incorrectly after observing that the nursing assistant:

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stands behind the client

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A RN is watching as a new LPN administer an IM injection in a client's deltoid muscle. the RN determines that the LPN is performing the procedure correctly if the LPN:

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administers the injection 2 in below the acromion process

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The nurse is preparing client assignments for the day. Which client should the nurse assign to a nursing assistant?

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unconscious pt who requires oral care

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A RN who has a LPN and a nursing assistant on the nursing team is planning client assignments for the day. Which client should the RN assign to the LPN?

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a pt receiving oxygen who requires frequent pulse oximetry monitoring and resp treatments

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A nurse has delegated several nursing tasks to staff members. The nurse's primary responsibility after the delegation of the tasks is to:

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follow up with each staff member regarding the performance of the task and the outcomes r/t implementation of the task

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A nurse is planning the client assignments for the shift. Which of the following clients should the nurse assign to the nursing assistant?

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a client who needs frequent ambulation with a walker

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A nurse employed at a hospital is asked by a nurse manager to review the organizational chart. The nurse reviews the chart so that he will:

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be familiar with the organizations line of authority

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A nurse leader in a med-surg unit overhears the nursing staff openly discussing a client and stating that the client is "uncooperative and a real pain to care for." the nurse leader would most appropriately manage this issue by:

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discourage the judgemental comments

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a nurse educator describes the standards of care formulated by the american nurse association to a group of new nursing graduates hired by the hospital. which of the following are accurate descriptions of these standards of care

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1. define professional practice 2. have some similarity to policies ; procedures 3. are authoritative statements that describe a common or acceptable level of client care or performance

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the nurse educator, discussing care maps, asks the graduate nurse whether she understands how a care map is used. which response indicates understanding

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care map outlines the day-to day expected outcomes of care and the outcomes anticipated at discharge

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the unit secretary says to the nurse "i read in mr. gage's medical record that he has gonorrhea." how should the nurse respond to the secretary

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we cant discuss a clients medical condition

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during the program, a crew from a local television station arrives to film the proceedings because the station is publicizing a series on hospital services. the nurse conducting the program should

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explain to the television crew that videotaping is not allowed

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a nurse manager discusses staff empowerment with the nursing team. the nurse manager explains that staff empowerment

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fosters the growth of others so that they are less dependent on the leader

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which notes in a client's record indicated an unexpected outcome and the need for follow-up?

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pt w/ a central venous catheter has a temp of 100.6

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an ed nurse is performing an assessment of a client who has sustained circumferential burns of both legs. what should the nurse assess first

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peripheral pulses

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A nurse, newly employed by a home health agency, is told that the organization's decision-making process is centralized. the nurse determines that this means that the authority to make decisions is vested in

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a few individuals, such as the board of directors

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a client with cancer is transported to the radiology departement for a bone scan to determine whether the cancer has metastasized to bone. while the client is in the radiology department the clients wife arrives and asks what test is being performed. the nurse should tell the wife

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she will have to discuss the prescribed test with the client

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After initial rounds, which client will the RN plan to care for first?

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a pt who is scheduled for surgery at 1 pm

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Rn is uncomfortable with writing prescriptions and explains this to the DR, but the DR tells the nurse that she will be reported if she does not write the prescriptions. how should the nurse manage this conflict?

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discussing the situation w/ the nurse manager

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a negligent act

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using clean gloves to change a gastrostomy tube dressing

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beneficence

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RN administers an immunization to a child even though it may cause discomfort

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float nurse to ICU is angry with the assignment

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ask the nurse manager of the ICU to discuss the assignment

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Which clients should be assigned to a nursing assistant?

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1. pt who requires transport to the radiology department 2. pt w/ a foley catheter for whom a 24 hr urine collection is in progress

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change of shift report should include

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needs and priorities of care current diagnosis results of lab studies conducted that day pt response to tx implemented that day

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DM is having a hard time drawing the insulin into syringe bc he cant see the markings on the syringe. refer him to

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home care

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new nurse needs help w time management if

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documents task completion ; client info at the end of the day

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difficulty holding utensils while eating

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occupational therapy

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client wants a DNR. the nurse should tell him that

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DNR request should be discussed w/ physician, who will write the order

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a rn providing preop care to a pt scheduled for left mastectomy and axillary lymph nose dissection notes that the client is wearing a wedding band on her left ring finger. the nurse should

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explain to the pt why the wedding band must be removed

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goal of inflicting the least possible harm on the client

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nonmaleficence

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nursing assistant

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pt w/ diarrhea on whom contact precautions have been imposed

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authority most appropriately refers to

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