Management
A nurse prepares a staff in-service on incident reports. Which of the following should the nurse
include? Select all that apply.
1. Risk management investigates the incident.
2. A copy of report is placed in client's health record.
3. Reports include description of incident and actions taken
4. Reports are confidential and not shared with non-involved staff
5. Completion of report should be documented in the nurses' notes.
1, 3, 4
Never in the client's chart. Only facts about the report go in the nurses' notes not a copy of the
completed report.
A nurse plans an in-service on medication reconciliation to nursing staff on a medical unit. Which of
the following should the nurse include? The process involves a
1. prescribed group of medications administered to the client during hospitalization.
2. documented list of all medications taken by the client
3. nurse instructing the client to resume home medications not prescribed by the provider
4. reconciliation at time of admission and discharge from a health care facility
2
A nurse cares for a client with terminal lung cancer. Which of the following actions should be
delegated to the AP? Select all that apply.
1. Encourage client to express feelings about the terminal diagnosis
2. Assist the client to ambulate to the bedside chair twice a day
3. Demonstrate to client the proper use of a bronchodilator inhaler
4. Complete vital signs every 4 hours that include oxygen saturation
5. Obtain a urine specimen from the client's indwelling bladder catheter
2, 4
Don't let them encourage feelings because they are not trained and may not say the correct thing.
Cannot obtain specimen from catheter because it's a sterile procedure.
A nurse cares for a group of clients on a med surg unit. Which of the following clients should be
delegated to the PN? Select all that apply. A client with..
1. newly diagnosed diabetes mellitus type 2
2. facial lacerations and a subdural hematoma
3. bronchitis receiving bronchodilator treatments
4. exacerbation of myasthenia gravis admitted three hours ago
5. advanced regular diet 2 days postop cholecystectomy
3, 5
Allowed to hang a secondary bag, NOT the maintenance fluid. They can monitor them but cannot
hang them.
A nurse plans to administer the following meds. Which med should the nurse administer first?