Prioritization & Delegation Set 3 (questions with correct answers to booste your grades)

Adrienne Provax Prioritization & Delegation – Set 3 1. One of your assigned clients sustained a fractured femur. Which of the following would you tell the nursing assistant to report immediately? 2. After change of shift report, which client should the nurse assess first? 3. You are preparing to administer TPN through a central line. Place the steps for administration in the correct order: A. Set the infusion pump at the prescribed rate. B. Use aseptic technique when handling the injection cap. C. Select the correct tubing and filter. D. Connect the tubing to the central line. E. Check the solution for cloudiness or turbidity. F. Thread the IV tubing through the infusion pump. 4. You are caring for a client with an NG tube. Which task can be delegated to the experienced nursing assistant? 5. You must rearrange the room assignment for several clients. Which two clients would be best suited to put in the same room? 6. As the nurse manager, you must select an employee to participate in a hospital committee that will develop client education brochures about common abdominal surgeries and wound care. Who would be the best employee to appoint to this committee? 7. A client as admitted through the ED for a strangulated intestinal obstruction with perforation. What interventions do you anticipate for this emergent condition? (Select all that apply.) 8. As the shift begins, you are assigned these clients. Which client should you assess first? 9. A client is hospitalized with adrenocortical insufficiency. Which nursing activity should you delegate to the nursing assistant? 10. You are caring for a client who is post-hypophysectomy for hyperpituitarism. Which post-op finding requires immediate intervention? 11. You are precepting a nurse who has recently graduated and passed the NCLEX exam. This new nurse has been on the unit for only 2 days. Which client should you assign to this new nurse? 12. A diabetic client presents with hot and dry skin, rapid and deep respirations, and a fruity odor to his breath. As charge nurse, you observe the new grad RN accomplishing all of these client tasks. Which one requires that you intervene immediately? 13. You just received change of shift report for the burn unit. Which client should you assess first? 14. You are the nurse manager in the burn unit. Which client is best assigned to an RN who has floated from the oncology unit? 15. A 62 yo client has extensive blister injuries to the back and both legs caused by exposure to toxic chemicals at work and is admitted to the ED. Which of these ordered interventions will you perform first? 16. A newly graduted RN is in the 3rd week of orientation to the med/surg unit. Which client is best for you, as charge nurse, to assign to this new grad? 17. A client comes to the outpatient clinic for follow-up after being diagnosed with contact dermatitis caused by poison ivy and taking prednisone (Deltasone) 30 mg daily. You evaluate the client for adverse medication effects. Which information is of most concern? A 18. You are supervising an orienting RN who is discharging a client admitted with nephrolithiasis and post-lithotripsy. Which statement by the nurse requires that you intervene? 19. As charge nurse, you must rearrange room assignments to admit a new client. Which two clients are best suited to be roommates? 20. You are providing nursing care for a client with ARF (acute renal failure) who has a nursing diagnosis of Fluid Volume Excess related to compromised regulatory mechanisms. Which actions should you delegate to the experience nursing assistant? (Select all that apply.) A. . 21. The nurse is caring for clients in a family practice clinic. Which client should the nurse assess first? ...................................CONTINUED,....................................