ATI PN Leadership Management Online Exam 2024 A

The nurse is assisting in evaluating and updating a client's plan of care. Which of the following findings indi Nurses' Notes Day 1, 1530: Client presents to the emergency department with reports of a cough, sore throat, chills, fever, and shortness of breath which began 2 days ago. Client reports their sputum is thick and yellow in color. Upon auscultation, lungs sounds cate that the client's condition is worsening? - When evaluating the client's plan of care the nurse should identify blood-tinged sputum, an increase in temperature, heart rate, respiratory rate along with a decrease in oxygen saturation indicates the client's pneumonia is worsening. Therefore, the nurse should contact the provider for further instructions. Which of the following findings in the client's electronic health record indicate that a referral for a speech path Nurses' Notes 0930: Assistive personel (AP) noted that client was pocketing food in their mouth at breakfast. Provider requests that nurse monitor client during next feeding. ologist is needed? - When analyzing cues the nurse should identify pocketing food, cough, uncoordinated speech, and a change in voice quality are warning signs of dysphagia; therefore, a referral for a speech pathologist is indicated to perform a swallow study and to determine the assistance the client needs. A nurse on a maternal newborn unit is reviewing the below information regarding the clients on the unit prior to delegating client care needs. For each "Client and Time" click to specific if it is appropriate or inappropriate for delegation of their tasks to an AP. - When evaluating outcomes, the nurse should recognize that it is crucial to positive outcomes for the nurse to appropriately delegate tasks to the AP. The AP can assist with diaper changes and perineal care. They can also obtain vital signs, measurements, and an axillary temperature. These tasks are commonly within the range of function for an assistive personnel. The following tasks are not appropriate to delegate to the AP and include, providing information about use of bulb syringe, breastfeeding, and safe sleep practices. These tasks require client education and cannot be performed by the AP. Also, theAP cannot assist a client with perineal care who is reporting passing several clots. Finally, an AP cannot witness a consent for a circumcision. These are all tasks that should be performed by the PN or RN and is dependent on the scope of practice. A nurse is participating on a committee that is revising the facility's policies and procedures for infection control. Which of the following instructions should the nurse recommend including in the facility's infection control manual? - Use a 1:10 bleach solution to clean blood spills. A nurse is reinforcing teaching about home safety with an older adult client. Which of the following client statements indicates an understanding of the teaching? - "I should participate in a supervised exercise program." A nurse is delegating tasks to assistive personnel (AP). Which of the following statements by the nurse includes the five rights of delegation? - "Ambulate the client in room 316 to the end of the hall before lunch and report any shortness of breath." A nurse is preparing to delegate assignments after receiving change-of-shift report. Which of the following tasks should the nurse assign to an assistive personnel (AP)? - Provide postmortem care A nurse is using a critical pathway while providing care to a client who is 3 days postoperative. Which of the following events should the nurse document as a variance? - The client has a circular area of non-blanchable discoloration on their left heel.