questions with verified detailed answers || || || ||
Ch.1 - A nurse enters the room of a client and finds the client lying on the floor.
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Which of the following actions should the nurse take first?
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A. Call the provider
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B. Ask a staff member for assistance getting the client back in bed
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C. Inspect the client for injuries
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D. Instruct the client to ask for help if they need to get out of bed
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C. Inspect the client for injuries
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Rationale: the first action to take using the nursing process is to assess the client in
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order to determine which interventions the client will need
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Ch. 1 - An RN on a medical-surgical unit is making assignments at the beginning of
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the shift. Which of the following tasks should the nurse delegate to the PN?
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A. Obtain vital signs for a client who is 2 hours postprocedure following a cardiac
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catheterization
B. Administer a unit of packed RBCs to a client who has cancer
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C. Instruct a client who is scheduled for discharge in the performance of wound care
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D. Develop a plan of care for a newly admitted client who has pneumonia
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A. Obtain vital signs for a client who is 2 hours postprocedure following a cardiac
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catheterization
,Rationale: the client is considered stable
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-PNs can reinforce but NOT provide initial client education
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-PNs can suggest additions to but not develop the plan of care
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Ch. 1 - A PN ending their shift reports to the RN that the newly hired AP has not
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calculated the I&Os for several clients. Which of the following actions should the RN
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take?
A. Complete an incident report
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B. Delegate this task to the PN
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C. Ask the AP if they need assistance
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D. Notify the nurse manager
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C. Ask the AP if they need assistance
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Rationale: Find out what the AP knows about performing this task and provide
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education for the AP if indicated|| || || || ||
-incident reports are for critical incident
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Ch. 1 - A nurse manager is developing an orientation plan for newly licensed nurses.
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Which of the following information should the nurse manager include in the plan?
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(SATA)
, A. Skill proficiency
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B. Assignment to a preceptor
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C. Budgetary principles
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D. Computerized charting
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E. Socialization into unit culture
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F. Facility policies and procedures
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A. Skill proficiency
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B. Assignment to a preceptor
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D. Computerized charting
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E. Socialization into unit culture
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F. Facility policies and procedures
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-budgetary principles are an administrative skill that is usually the responsibility of
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the unit manager
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Ch. 1 - A nurse manager is providing information about the audit process to members
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of the nursing team. Which of the following information should the nurse manager
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include? (SATA) ||
A. A structure audit evaluates the setting and resources available to provide care
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B. An outcome audit evaluates the results of the nursing care provided
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