Evolve Hesi Leadership- Prioritizing Care Test Exam Questions And Answers Verified 100% Correct

Evolve Hesi Leadership- Prioritizing Care Test Exam Questions And Answers Verified 100% Correct A major city hospital is planning to implement primary nursing. What issues must be considered prior to the implementation of this care approach? Select all that apply. - ANSWER SALARIES, DISPOSITIONS, EDUCATION, NUMBER The nurse is teaching a client how to teach the supraglottic method of swallowing. Arrange the prioritizing order of statements by the nurse for teaching the client. - ANSWER UPRIGHT POSITION, CLEAR THROAT, TAKE A DEEP BREATH, FOOD IN MOUTH, HOLD BREATH , SWOLLOW TWICE The nurse is caring for four clients in an emergency department. Which client should be provided with immediate care based on priority? - ANSWER BRONICHOLITIS What is the correct order of steps involved in secondary survey? - ANSWER VITALS, COMFORT MEASURES, PATIENT HISTORY, HEAD TO TOE ASSESSMENT The nurse is caring for four different clients in a healthcare facility. Which client should be provided with immediate care? - ANSWER 85 O2 SAT The nurse is caring for victims of a bomb blast in the emergency department who are receiving different pain medications. Which client must be placed on electrocardiogram equipment? - ANSWER NAPROXEN The nurse is reviewing the medication records of four clients. Which client is taught to report shortness of breath as a prioritynursing care? - ANSWER IMFLIXIMAB After assessing a client's reports, the nurse confirms that the client has moderate hypothermia. What should be the nurse's immediate intervention? Select all that apply. - ANSWER 02, SUPINE, HEATING BLANKETS A client is admitted to the emergency department with acute abdominal pain due to pelvic inflammatory disease. Which initial nursing intervention is most suitable in this condition? - ANSWER UA The emergency department nurse is called to care for a client with a snake bite. What are the nursing interventions performed by the nurse in the order of priority? - ANSWER MOVE PATIENT, REMOVE LOTHING, EMOBILIZE, CALL 911, TAKE PIC The nurse is inspecting the chest of a client with a suspected heart attack after a fire. Which order of interventions should the nurse follow? - ANSWER INSPECT, PALPATE, AUSCULTATE, EVALUATE, EKG Which priority assessments should be included by the nurse when caring for a client who is experiencing depression? Select all that apply. - ANSWER APPITITE, ACTIVITY, EMOTIONAL What are the priorities of a circulating nurse when a surgery is taking place? Select all that apply. - ANSWER PRIVACY, ASSESS BLOOD AND URINE LOSS, PROVIDE EQUIPMENT AND TOOLS Which nursing actions are appropriate during the primary survey of the emergency assessment process? Select all that apply. - ANSWER IMMOBILIZE, PREPARE FOR CHEST TUBE, DIRECT PRESSURE A client with tongue occlusion has loss of gag reflex and alterations in level of consciousness. The blood gas test shows oxygen saturation as 40mm Hg and carbon dioxide saturation as 75 mm Hg. Which type of support provides immediate relief to the client? - ANSWER TRACH The nurse is assessing four clients in the postoperative unit. Which client will be monitored for fluid volume overload as nursing safety priority? - ANSWER LYMPH DISECTION The patient who has a history of allergy to bee stings is brought to the emergency department following a bee sting. What are the interventions to be followed in correct order? - ANSWER EPI, REMOVE STINGER, BENADRIL, SALINE The body temperature of a heat stroke client is above 104° F (40° C). What is the priority order the nurse would use for cooling the client so that breathing and circulation are not impaired? - ANSWER REMOVE CLOTHES, ICE PACKS, COLD WATER, FAN For which situations would total client care be an appropriate delivery system? Select all that apply. - ANSWER SEPSIS, GRAFT SURGERY, SHUNT The nurse is teaching a group of students about assessing for respiratory system manifestations of alkalosis as a nursing priority. Which statement made by the student nurse indicates the need for further teaching? Select all that apply. - ANSWER LOW BLOOD PRESSURE, INCREASE MED TOXICITY, DECREASED VENTILATION Which nurse would be the best to create clinical pathways for joint replacement surgeries in an environment that supports differentiated nursing practice? - ANSWER NURSE WITH MASTERS DEGREES The emergency department (ED) nurse is providing care to a burn trauma client. Which is the priority for the nurse to monitor for after removing the client's clothing? - ANSWER HYPOTHERMIA Which comment by a team leader exemplifies team nursing the way it was intended? - ANSWER RN1 Which are the priority nursing actions after the completion of the secondary survey when providing care for a trauma client with a penetrating wound? Select all that apply. - ANSWER DOCUMENT, ADMIN The health care triage team is caring for a group of different clients who were injured due to a large industrial accident. For which client should the nurse provide care immediately? - ANSWER CLIENT C The nurse is treating a client for leakage of a nonvesicant intravenous (IV) solution into the extravascular tissue. In what order should the nurse treat the infiltration? - ANSWER STOP INFUSION, APPLY STERILE DRESSING, ELEVATE EXTRIMITY, COMRESSION, NEW CATH, OBTAIN STUDY, INS The nurse is caring for four clients. Following the three-tiered triage model of care, which client should the nurse care for first? - ANSWER LOBE ABCESS The nurse is caring for an older client during the intraoperative stage. The anesthesia process has already begun and the nurse has already removed the dentures, eyeglasses, and hearing aids. After the nurse performs these actions, what would be the order the intraoperative nursing interventions should take place? - ANSWER PILLOW UNDER HEAD, PLACES INTO POSITION, POSITION JOINTS, PAD BONY PROMINCES, WARMING, DEVICE , COVER HEAD AND FEET, WARM FLUIDS, ASPETIC, I&O Which behaviors indicate that a care provider is functioning as a primary nurse? Select all that apply. - ANSWER PLAN OF CARE, ACILLARY, RESPONSES The care delivery committee is determining whether primary nursing would be appropriate to implement in a 500-bed acute care hospital. Which information would support the selection of another care delivery approach? Select all that apply. -