A nurse is caring for a pt who is comatose... - Answer Review the client's request with the family
A nurse is developing a plan of care for a school-aged child whose family is homeless... - Answer The
child has red fissures at the corners of the mouth
A nurse manager needs to address an increased rate of client medication errors... - Answer Inform the
staff of the penalties that can result from medication errors
A charge nurse is leading a committee that is revising the policy for client discharge... - Answer
Determine goals and objectives
A nurse is caring for a client who is terminally ill and receiving nutritional support... - Answer Assist in
weighing the options involved in the decision
A nurse receives notification of a fire on the unit... - Answer Assist clients who are in immediate danger
to a safe location
A nurse is caring for a client who reports vomiting and diarrhea for the past 6 hr... - Answer Obtain the
client's serum potassium level
A nurse is conducting an orientation class for new clients and their families at a long-term facility... -
Answer The right to be treated with respect and dignity
The right to refuse their medication
The right to leave regardless of provider recommendations
The right to be fully informed of their health conditions
, A nurse in an emergency department is admitting clients following an earthquake... - Answer A client
who has a sucking chest wound
A nurse manager is teaching about confidentiality requirements to the staff... - Answer "Change-of-shift
report can be given at the client's bedside."
A nurse is observing a newly licensed nurse perform a sterile dressing change on a client who has a
central venous catheter... - Answer Pick up the first sterile glove by grasping the folded cuff edge
A nurse is caring for a client who is 3 days post following open heart surgery... - Answer The client's level
of consciousness
A nurse manager is planning an in-service for a group of nurses about caring for clients following stem
cell transplants... - Answer Place clients in positive pressure airflow rooms
A charge nurse is preparing to observe a newly licensed nurse perform a routine abdominal
assessment... - Answer Place the client in a dorsal recumbent position for the examination
A charge nurse is supervising the care of several clients... - Answer A nurse is photocopying their
assigned client's diagnostic test results
A nurse is reviewing a client's pathway upon discharge following hip arthroplasty... - Answer The length
of the client's stay
A nurse is caring for a client who has a terminal illness and voices concern about performing self-care
after discharge... - Answer "Your case manager will coordinate the resources you will need."
An assistive personnel tells a charge nurse that it is unfair that they have to take care of all the clients
who are incontinent... - Answer "I delegate tasks to personnel based on their job descriptions."
A nurse is caring for a client who is scheduled for outpatient surgery... - Answer Ask the client to explain
the procedure that is being performed