Ignatavicius All Chapters Covered 2024
1. A new nurse is working with a preceptor on an inpatient medical-surgical unit. The
preceptor advises the student that which is the priority when working as a professional
nurse? - ANSWER>>>>b. Ensuring client safety
1. A nurse manager wishes to ensure that the nurses on the unit are practicing at their highest
levels of competency. Which areas should the manager assess to determine if the nursing
staff demonstrate competency according to the Institute of Medicine (IOM) report Health
Professions Education: A Bridge to Quality? (Select all that apply.) - ANSWER>>>>a.
Collaborating with an interdisciplinary team
b. Implementing evidence-based care
d. Routinely using informatics in practice
e. Using quality improvement in client care
A nurse is interested in making interdisciplinary work a high priority. Which actions by the
nurse best demonstrate this skill? (Select all that apply.) - ANSWER>>>>a. Consults with other
disciplines on client care
b. Coordinates discharge planning for home safety
c. Participates in comprehensive client rounding
d. Routinely asks other disciplines about client progress
3. A postoperative client has an epidural infusion of morphine and bupivacaine (Marcaine).
What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select
all that apply.) - ANSWER>>>>c. Perform a bladder scan if the client is unable to void after 4
hours.
d. Remind the client to use the incentive spirometer every hour.
e. Take and record the client's vital signs per agency protocol.
A home health care nurse assesses an older client for the intake of nutrients needed in larger
amounts than in younger adults. Which foods found in an older adult's kitchen might
indicate an adequate intake of these nutrients? (Select all that apply.) - ANSWER>>>>a. 1% milk
b. Carrots
d. Oranges
e. Vitamin D supplements
4. A nurse manager institutes the Fulmer Spices Framework as part of the routine assessment
, of older adults in the hospital. The nursing staff assesses for which factors? (Select all that -
ANSWER>>>>confusion
incontinence
sleep disorder
A hospitalized older adult has been assessed at high risk for skin breakdown. Which actions
does the registered nurse (RN) delegate to the unlicensed assistive personnel (UAP)? (Select
all that apply.) - ANSWER>>>>keep pts skin dry
obtain pressure relieving mattress
turn pt every 2 hours
A nurse admits an older client to the hospital who lives at home with family. The nurse
assesses that the client is malnourished. What actions by the nurse are best? (Select all that
apply - ANSWER>>>>c. Perform and document results of a Braden Scale assessment.
d. Request a dietary consultation from the health care provider.
e. Suggest a high-protein oral supplement between meals
A visiting nurse is in the home of an older adult and notes a 7-pound weight loss since last
month's visit. What actions should the nurse perform first? (Select all that apply.) -
ANSWER>>>>a. Assess the client's ability to drive or transportation alternatives.
b. Determine if the client has dentures that fit appropriately.
d. d. Have the client complete a 3-day diet recall diary
A postoperative client is being discharged with a prescription for oxycodone hydrochloride
with acetaminophen (Percocet). What instructions does the nurse give the client? (Select all -
ANSWER>>>>a. "Check all over-the-counter medications for acetaminophen."
b. "Do not take more pills each day than you are prescribed."
c. "Eat a diet that is high in fiber and drink lots of water."
d. "you shouldn't drive while on this medication
A client reports a great deal of pain following a fairly minor operation. The surgeon leaves a
prescription for the nurse to administer a placebo instead of pain medication. What actions
by the nurse are most appropriate? (Select all that apply.) - ANSWER>>>>a. Consult with the
prescriber and voice objections.
d. notify nurse manager of Drs request
know how to do drop factor question - ANSWER>>>>