Management of the Emergent Care Clinic – Flashcards
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Which client should the charge nurse assign to the PN?
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A 25-year-old female complaining of increased urinary frequency and burning.
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It is most important for the RN to admit Mr. Jackson to which room in the Emergent Care Clinic?
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A room with continuous electocardiogram (ECG) monitoring availability.
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Which task should the RN delegate to the UAP?
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Obtain initial vital signs.
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Which action should the nurse delegate to the UAP next?
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Apply a continuous pulse oximeter monitor to the client.
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Which prescription should the nurse plan to implement first for Mr. Jackson?
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Oxygen at 2 liters per nasal cannula.
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Which inquiry is most important for the nurse to make first?
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Medications currently taking.
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After receiving Mr. Jackson's laboratory results, which data is most important to report to the primary healthcare provider (HCP)?
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Serum Potassium 2.9 mEq/L
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How many capsule(s) should the nurse give?
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3
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Which method for scheduling the staff meeting allows for the best continuity of care for the clients and the best communication between management and employees?
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Meet with half of the nurses and UAPs before lunch, then the other half of the nuses and UAPs after lunch.
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The nurse manager demonstrates which type of leadership by allowing the nurses and UAPs to vote on the staffing protocol?
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Democratic.
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In which situation should a patriarchal/paternal leadership style be used by the charge nurse?
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During an emergency situation or mass disaster.
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How should the nurse manager respond?
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You sound frustrated; tell me why you feel this way.
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What action should the nurse manager take first?
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Ask the PN to explain specifically what has happened.
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Which approach should the nurse manager use to confront the nurse practitioner?
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Explain the accusation to the nurse practitioner and giver her a chance to reply.
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Which action should the charge nurse take first?
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Ask the grandmother if she is Billy's legal guardian.
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Under what circumstances can healthcare personnel treat a child even when the legal guardian cannot be contacted?
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There is a life-threatening situation.
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Which action should the nurse take first?
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Complete the rest of the nursing assessment.
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Which action should the nurse take?
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Request the HCP to withdraw from the case.
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How should the nurse manager use performance improvement programs? (Select all that apply)
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-Discovery of facility deficiencies -As required reporting mechanisms by accrediting agencies -Investigation of the degree to which standards of care are being met
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Which action should the nurse manager take first?
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Conduct a study to determine the current average wait time.
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After the nurse manager decides to conduct a root cause analysis on lengthy wait times, what action should be implemented?
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Collect and analyze data to determine the cause of the problem.
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Which strategy should the nurse manager use with the staff to provide a smooth transition when implementing a computerized data system?
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Promote the advantages, but be honest about the disadvantages of using the new system.
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After the education and training on the use of the electronic data system has been completed with all of the staff, which implementation strategy provides the best continuity of care to the clients?
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Implement the system one department at a time with staggering dates.
