Module 5: Principles of Delegation and Prioritization of Care

A 17-year-old client arrives at the clinic and asks to be examined because she believes that she has contracted a sexually transmitted infection. In regard to informed consent, the nurse tells the client that: - She will need to sign an informed consent form A 51-year-old client with amyotrophic lateral sclerosis (Lou Gehrig's disease) is admitted to the hospital because his condition is deteriorating. The client tells the nurse that he wants a do-not-resuscitate (DNR) order. The nurse should tell the client that: - The DNR request should be discussed with the physician, who will write the order A case manager is reviewing notations made in clients' records. Which note indicates an unexpected outcome and the need for immediate follow-up? - A client exhibits signs of increased intracranial pressure after a craniotomy. A case manager is reviewing progress notes in a client's medical record. Which notation indicates the need for follow-up? - Client 2 Heart Failure Crackles were heard in the lower lung lobes bilaterally on auscultation. A case manager is reviewing the records of the clients in the nursing unit. Which note(s) in a client's record indicate an unexpected outcome and the need for follow-up? Select all that apply. - A client with a central venous catheter has a temperature of 100.6° F. A case manager is serving on a community task force on violence in schools. The members of the task force are planning to develop interventions to help prevent violence. According to the nursing process, the first activity that the nurse would suggest to the task force is: - Conducting a community survey to assess community perceptions regarding school violence A charge nurse on the 11 pm-to-7 am shift is gathering the nursing staff together to listen to the 3-to-11 pm intershift report. The charge nurse notes that a staff member has an odor of alcohol on her breath, slurred speech, and an unsteady gait and suspects alcohol intoxication. The charge nurse would most appropriately: - Send the staff member home A client admitted to the hospital has a do-not-resuscitate (DNR) order in his medical record. The nurse understands that: - The DNR order requires frequent review as specified by state or agency policy A client asks a nurse about the procedure for becoming an organ donor. The nurse tells the client: -