The nurse has received report on the following clients which client should the nurse assess first

36.A nurse has received morning report on the following four clients. Which client should the nursesee first?a.A client who has blood glucose of 68 mg/dL and reports mild sweating and is hungryb.A client who has acute glomerulonephritis and reports reddish-brown urinary outputc.A client who has a calcium level of 10 mg/dL and reports have headached.A client who has cellulitis of the left lower leg and reports pain in the affected area.

37.A nursing staff of a Medical-Surgical unit is asked to make a recommendation regarding aninstallation of a computer work station. Which factor is a priority for staff ergonomics?

Get answer to your question and much more

38.A nurse who keeps her promise and returns to a patient’s room to answer the patient’squestions on her next rounds is demonstrating the ethical principle of:

Get answer to your question and much more

39.A charge nurse receives a phone call from the emergency room where a client is being admitted.The admission diagnosis of the client is renal failure. The client is also confused and restless.Which is the safest room assignment for this client?

Get answer to your question and much more

40.A client is brought into the ED with a history of alcohol abuse. The client presents confused anddisoriented. Wrist restraints were placed on the patient. After six hours has passed, the clientrequested to leave. The nurse refused to remove the wrist restraints. The client informed thenurse that he was going to report her to her supervisor. Which term below best describes theintentional tort that the client will be reporting?

A nurse notices that a large number of clients who receive oxytocin to induce labor vomit as the infusion is started. The nurse assesses the situation further and discovers that these clients received no instruction before arriving on the unit and haven't fasted for 8 hours before induction. How should the nurse intervene?

Initiate a unit policy involving staff nurses, certified nurse-midwives, and physicians in teaching clients before labor induction.

A nurse is caring for a client with bruises on her face and arms. Her husband refuses to leave the client's bedside and answers all of the questions for the client. Which intervention by the nurse would be most appropriate?

Referral for bereavement counseling

The nurse is working in a newborn nursery and caring for several neonates. What precaution should be taken to prevent an infant abduction?

Notify the hospital's security staff about anyone who appears unusual.

A student nurse is reviewing physician orders written on a client's chart. Which entry is written incorrectly because it contains material from the "do not use" list of the Joint Commission on Accreditation of Healthcare Organizations (Joint Commission)?

Epoetin alfa 6500 U SQ daily.

A staff nurse is caring for a client who is a potential heart donor. The client's family is concerned that the recipient will have access to personal donor information. Which response by the nurse demonstrates knowledge of the organ donation process?

"I will have the transplant coordinator speak with you to answer your questions."

Which of the following theories of ethics most highly prioritizes the nurse’s relationship with clients and the nurse’s character in the practice of ethical nursing?

A nurse manager overhears a nurse caring for a client with an IV make the following statement: “If you don’t stop playing with your IV, I will tie your hand to the side rail.” What is the most appropriate response by the nurse manager to address this situation?

“I need to inform you that your behavior is within the definition of assault.”

A nurse has received change-of-shift report on the following four clients. Which client should the nurse assess first?

Client experiencing tracheal deviation following a subclavian catheter insertion

A nurse is caring for a 16-year-old male client who needs an appendectomy. His parents are not present at the hospital. Prior to the surgery, the nurse needs to ensure that informed consent is obtained. Which of the following situations allows the healthcare provider to obtain an informed consent from an adolescent?

The adolescent has declared himself emancipated.

A nurse is caring for a client with bruises on her face and arms. Her husband refuses to leave the client's bedside and answers all of the questions for the client. Which intervention by the nurse would be most appropriate?

Collaborate with the physician to make a referral to social services.

When a nurse enters a client's room, the client frowns and states, "I've had my damn light on for 20 minutes. It's about time you got here. I'm sick of this place and the staff." The nurse's best response would be:

You seem upset this morning."

A client in a late stage of acquired immunodeficiency syndrome (AIDS) shows signs of AIDS-related dementia. Which nursing diagnosis takes highest priority?

A primigravid client at about 36 weeks’ gestation in active labor has had no prenatal care and admits to cocaine use during the pregnancy. Which person must the nurse notify?

primary care provider who will attend the birth of the infant

The nurse on the orthopedic unit is going to lunch and is conducting a “hand-off” to the charge nurse. The goal of the “hand-off” communication is:

to provide accurate information about client’s care to the next caregiver.

A physician has asked a nurse to use written forms of communication to share the client's health status with other medical personnel. Which of the following is an example of a written form of communication?

A client has been prescribed a narcotic analgesic to be given around the clock for cancer-related pain. The client is competent and has actively been involved in decisions regarding care. What should the nurse do when the client refuses the next dose of pain medication?

Document the client’s choice and reassess the pain in 1 hour.

The nurse is caring for a child whose mother is deaf and untrusting of staff. She frequently cries at the bedside, but refuses intervention from social work or the chaplain. Which issue is most important for the nurse to address with the mother to promote a trusting relationship?

Communication barriers between the mother and staff

The nurse manager has assigned a nurse as the circulating nurse for a surgical abortion. The nurse has a religious objection and wishes to refuse to participate in an abortion. The nurse manager of the operating room should:Term

change the assignment without comment.Definition

A client is being transferred from the recovery room to the medical surgical nursing unit. The nurse from the recovery room should report which information to the nurse in the medical surgical unit? Select all that apply.

type of surgery current vital signs amount of blood loss fluids infusing including rate and type of fluid

An 86-year-old client with dementia is being discharged after treatment for a hip fracture. In reviewing the notes, the nurse identifies that the sole care-giver at home is an adult daughter with a moderate intellectual disability. Which is the most important action the nurse should ensure is in place before discharging the client home?

An immediate home visit is arranged with the visiting nurse service and the social worker.

A client was brought to the emergency department following a motor vehicle accident and has phrenic nerve involvement. The nurse should assess the client for:
You Selected:

ineffective breathing pattern. Term

A client has renal colic due to renal lithiasis. What is the nurse's first priority in managing care for this client?Term

Administer an opioid analgesic as prescribed.Definition

The nurse is assisting with a bone marrow aspiration and biopsy. Place the tasks in the order in which the nurse should perform them, from highest priority to least priority. All options must be used.Term

1.Verify the client has signed an informed consent. 2. Position the client in a side-lying position. 3. Clean the skin with an antiseptic solution. 4. Apply ice to the biopsy site.

A client with a history of alcohol abuse comes to the emergency department and complains of abdominal pain. Laboratory studies help confirm a diagnosis of acute pancreatitis. The client's vital signs are stable, but the client's pain is worsening and radiating to his back. Which intervention takes priority for this client?

Administering morphine I.V. as ordered

A nurse enters a client's room and finds that the client is lying on the floor. The nurse makes the client comfortable on the bed and completes an assessment. The nurse then informs the physician and the nursing supervisor about this incident and also completes an incident report. Which of the following actions by the nurse indicates correct knowledge of handling an incident report?

Documents a complete description of the happenings in the client's records.

A nurse, driving on a highway, is the first on the scene after a multivehicle collision. Which assessment data found in the accident victims would require immediate care?

After administering the prescribed medications, which of the following clients requires immediate intervention?

A client taking digoxin who has a morning potassium level of 3.0 mEq/L.

A nurse is planning care for a hospitalized child who is 10 years of age, and is delegating care to a pediatric care assistant. When a nurse delegates a task to an unlicensed assistive personnel (UAP), which factor is most important?

The task is appropriate for that individual’s preparation.

The nurse is assigning tasks to unlicensed assistive personnel (UAP) for a client with an abdominal hysterectomy on the first postoperative day. Which task cannot be delegated to the UAP?

assessing the incision site

Which adolescent would the nurse determine needs further evaluation?

a young adolescent boy who restricts his food and fluid intake to be able to box in a lower weight class

A client in a long-term care facility has signed a form stating that he does not want to be resuscitated. He develops an upper respiratory infection that progresses to pneumonia. His health rapidly deteriorates, and he is no longer competent. The client’s family states that they want everything possible done for the client. Which of the following should happen in this case?

Which nurse should be assigned to a client receiving brachytherapy for the treatment of cervical cancer?

Female nurse with 3 years experience working in oncology

A nurse suspects an infant may have a tracheoesophageal fistula or esophageal atresia. What is the most important intervention by the nurse?

Report the suspicion to the health care provider

A client has undergone a laparoscopic cholecystectomy. Which instruction should the nurse include in the discharge teaching?

Report bile-colored drainage from any incision.

A nurse fails to give the evening dose of an IV antibiotic that is to be administered every 12 hours. The evening dose was scheduled for 1800; it is now 2200. The nurse should next:

report the incident to the health care provider.

A nurse is providing inservice education for staff members about evidence collection after sexual assault. The educational session is successful when staff members focus their initial care on which step?

Supporting the client's emotional status

The nurse is analyzing the arterial blood gas (AGB) results of a client diagnosed with severe pneumonia. What ABG results are most consistent with this diagnosis?

pH: 7.20, PaCO2: 65 mm Hg, HCO3–: 26 mEq/L Respiratory acidosis is a clinical disorder in which the pH is less than 7.35 and the PaCO2 is greater than 42 mm Hg and a compensatory increase in the plasma HCO3– occurs.

After receiving a report, the nurse is making out assignments. Which client would be appropriate to assign to unlicensed assistive personnel?

A child with type 1 diabetes is admitted to the emergency department with hot and dry skin, rapid and deep respirations, and a fruity odor to her breath. Which task, when performed by a new-graduate registered nurse (RN), requires the RN preceptor to intervene?

Providing encouragement to the child to drink some orange juice.

A client's left leg is in skeletal traction with a Thomas leg splint and Pearson attachment. Which intervention should the nurse include in this client's care plan?

Teach the client how to prevent problems caused by immobility.

Using the nursing process to make ethical decisions involves following several steps. Which step is the nurse implementing when he or she reflects on the decision-making process and the role it will play in making future decisions?

A nurse overhears a second nurse making plans to meet a hospitalized client for a drink after the client has been discharged. Which of the following is the best action for the first nurse to take?

Discuss the conversation directly with the other nurse.

A nurse working on a surgical unit administers an intramuscular medication to a client and is stuck with the used hypodermic needle while walking to the sharps container. This unit has a higher incidence of needle stick injuries than other units within the agency. Which of the following actions by the nurse manager would demonstrate advocacy for a quality practice environment?

Obtain suggestions from staff on decreasing needle stick injuries.

A nurse has been asked to obtain a client’s signature on an operative consent form. When the nurse approaches the client, who is scheduled for a cholycystectomy later in the day, the client asks the nurse why the procedure is needed. Which of the following is the appropriate response by the nurse?

I will ask the surgeon to come speak to you about the procedure.”

A nurse arriving for duty notes that a nursing assistant (or unregulated care provider [UCP]) has been assigned to a complex client with treatments involving sterile technique. What is the responsibility of the nurse regarding the assignment of the UCP?

Reassign the UCP to a client requiring basic tasks that the UCP has mastered.

The nurse is working with a licensed practical nurse (LPN) and delegating the taking of vital signs for a preoperative client. Upon review of the chart as the client is leaving for the operating room, the nurse notes that the temperature is 101.1°F (38.4°C) and the pulse is 110 bpm. What are the nurse’s initial actions?

Notify the surgeon and await his/her decision; reinforce with the LPN the importance of reporting abnormal preoperative vital signs.

A hospitalized client with end-stage heart failure does not want to be resuscitated. The health care provider (HCP) has written the do-not-resuscitate (DNR) prescription on the client’s record. The client has a cardiac arrest, and the wife tells the nurse she wants the client to be resuscitated and asks the nurse to “do something.” The nurse should:

discuss the DNR prescription with the wife.

A health care provider is legally and ethically required to disclose certain information. Which confidential information should the nurse disclose?

A taxi driver’s diagnosis of an uncontrolled seizure disorder to his licensing agency

A registered nurse on the neonatal unit appropriately uses the chain of command when she:

notifies the unit manager of unresolved issues between the nursing unit and housekeeping personnel.

An anxious client who suffered an acute myocardial infarction is transferred from the coronary care unit to the telemetry unit. The client asks the charge nurse if he can have the same nurse care for him every day. How should the charge nurse respond?

We will try to assign you the same nurse as often as possible."

When a client wants to read the medical record, the nurse should:

give the client the medical record and answer the client’s questions.

A nurse is taking care of two clients who have a prescription to receive a blood transfusion of packed red blood cells at the same time. The first client’s blood pressure dropped from the preoperative value of 120/80 mm Hg to a postoperative value of 100/50 mm Hg. The second client is hospitalized because he developed dehydration and anemia following pneumonia. After checking the patency of their IV lines and vital signs, what should the nurse do next?

Call for and hang the first client's blood transfusion.

A client is transferred from the coronary care unit to the step-down unit. Which information should be included in the transfer report? Select all that apply.

The client needs oxygen at 2 L/minute. The client has a "do not resuscitate" prescription. The client uses the bedpan. The client has been in normal sinus rhythm for 6 hours.

A client with a history of asthma is admitted to the emergency department. The nurse notes that the client is dyspneic, with a respiratory rate of 35 breaths/min, nasal flaring, and use of accessory muscles. Auscultation of the lung fields reveals greatly diminished breath sounds. What should the nurse do first?

Administer bronchodilators as prescribed.

A group of nursing students are reviewing current nursing Codes of Ethics. Such a code is important in the nursing profession because:

Nursing practice involves numerous interactions between laws and individual values.

A nurse is caring for a client with type 2 diabetes who has had a myocardial infarction (MI) and is reporting nausea, vomiting, dyspnea, and substernal chest pain. Which of the following is the priority intervention?

Control the pain and support breathing and oxygenation.

A client with cirrhosis of the liver is in the hospital. The nurse involves the client in developing a plan of care. What would be important aspects to include in this plan?

Discussing collaborative goals and involving the client in identifying and prioritizing important interventions

A client in home hospice care verbalizes to her caregiver that she wants to meet with her minister. The caregiver, who does not want the minister to visit or to interact with the minister because of her different values and beliefs, asks the home health nurse how to handle this situation. To prevent further disagreement between the client and caregiver, what is the best recommendation for the nurse to implement?

Arrange for an alternative caregiver to be available for the client when the minister visits.

An infant who has been in foster care since birth requires a blood transfusion. Who is authorized to give written, informed consent for the procedure?

A nurse explains the guidelines for the unit's seclusion room to a client with an impulse control disorder. Which client statement indicates that the nurse has adequately communicated the client's rights?

"Although I don't think I will, I can ask to go into seclusion, but I know you can make me go into the seclusion room."

A registered nurse (RN) is assigning care on the oncology unit and assigns the client with Kaposi’s sarcoma and human immunodeficiency virus (HIV) infection to the unlicensed assistive personnel (UAP). This person does not want to care for this client. How should the nurse respond?

You seem worried about this assignment."

The nurse is preparing to assist with the removal of a chest tube. Which dressing is appropriate at the site from which the chest tube is removed?

A hospital is changing the format for documentation in an attempt to decrease the time the nurses are spending on charting. The new type of charting will require that nurses document the significant findings as a narrative note in a shorthand method using well-defined standards of practice. Which of the following best defines this type of charting?

Which statement demonstrates a safe practice for taking telephone orders from a physician?

Verify the order by reading it back to the physician.

The nurse preceptor overhears a student nurse talking to a grieving mother, whose child was stillborn, about her own pregnancy and fears about experiencing a loss. The student nurse and mother make arrangements for the student to pick up the client’s maternity clothes and baby furniture on the weekend. What is the preceptor’s most appropriate action?

Discuss the situation with the nursing student after the visit has ended.

A client is scheduled for a laparoscopic cholecystectomy and is surprised to learn that he will be discharged later the same day, provided there are no complications. When caring for a client who will be discharged shortly after a procedure, the nurse must:

ensure that health education is begun as early as possible.

A nurse is reviewing the medication administration record and is getting ready to administer the flu vaccine. Prior to administering the vaccine, the client’s wife asks where she can get the vaccine. Which are locations where a client who does not have a primary care provider get a flu vaccine? Select all that apply.

health department pharmacy urgent care clinic

The nurse is reviewing the interventions listed in the plan of care for a child in vaso-occlusive crisis. Which intervention should the nurse implement first?

A client who speaks little English has emergency gallbladder surgery. During discharge preparation, which nursing action would best help this client understand wound care instructions?

Demonstrating the procedure and having the client return the demonstration

A client tells a nurse that she's in a nontraditional same-sex relationship. The woman's partner is the health care surrogate for the client and her fetus. The sperm donor, who is their best friend, has waived parental rights. If the client can't make health care decisions for the fetus, who's responsible for making them?

A client who has been recently diagnosed with acquired immunodeficiency syndrome (AIDS) inquires about hospice services. The nurse explains that hospice care is appropriate:

for clients with an inevitable death within weeks to months.

When a nurse tries to administer medication, the client refuses it, saying, "I don't have to take those pills if I don't want to." What intervention by the nurse would have the highest priority?

Exploring how the client's feelings affect his/her decision to refuse medication

The nurse managers of a home healthcare office wish to maximize nurses’ freedom to characterize and record client conditions and situations in the nurses’ own terms. Which of the following documentation formats is most likely to promote this goal?

A nurse reporting for the scheduled shift finds an assignment that includes the nurse’s aunt, who was admitted during the night with a fractured hip. What should the nurse do in response to the client assignment?

Notify the supervisor and provide care until another nurse can be assigned to the client.

A nurse observes a physician providing care to an infectious client without the use of personal protective equipment. What should the nurse do first?

Discuss the breach of practice with the physician.

The nurse is instructing a competent client in his legal rights regarding ECT (electroconvulsive therapy). Which statement by the client suggests further explanation is needed?

Since I was an Emergency Involuntary Commitment, I will be unable to sign the ECT form myself."

A nurse meets his/her neighbor and new baby at the local market. The neighbor states that she received outstanding nursing care from one of the nurse's colleagues during her labor and childbirth. What is the best way for the nurse to recognize her nursing colleague’s professional efforts?

Share the feedback with the nursing colleague directly.

The family of a client who is unconscious following a stroke tells the nurse they feel “pressured” by the resident physician to insert a feeding tube. They are reluctant to agree to the procedure because they believe this action is not something the client would want. Which of the following responses by the nurse illustrates ethical practice?

What should be charted by the nurse when the client has an involuntary commitment or formal admission status?

The client’s receipt of information about status and rights should be charted.

The nurse is caring for a client with a diagnosis of cerebrovascular accident (CVA) with left-sided hemiparesis. What would be important nursing measures in the acute phase of care? Select all that apply.

Turn and position every 2 hours. Perform passive range of motion on the affected side. Support the affected side with pillows.

A nurse is developing a nursing diagnosis for a client. Which information should she include?

Factors influencing the client's problem

The following statement appears on a client's care plan: "Client will ambulate in the hall without assistance within 4 days." This statement is an example of:

When prioritizing a client's care plan based on Maslow's hierarchy of needs, the nurse's first priority would be:

Administering pain medication

A client is scheduled for a right lower lobectomy for lung cancer. During the admission assessment, the client asks for information about a living will and advance directive. The nurse knows that the client understands teaching about the living will and advanced directive when he says:

The advance directive allows me to state my health care wishes while I'm still able to do so."

An apartment fire spreads to seven apartment units. Victims suffer burns, minor injuries, and broken bones from jumping from windows. Which client should be transported first?

a middle-aged man with no injuries who has rapid respirations and coughs

Which of the following clients will the nurse prioritize to assess first?

The client with ESRD (end-stage renal disease) just admitted the night before

Which client should the nurse assess first?

A client being treated for chronic stable angina who reports a recent increase in chest pain frequency.

The nurse has received change-of-shift report on the following clients. Who should the nurse plan to assess first?

A client newly admitted after their implantable cardioverter-defibrillator (ICD) fired twice who has a dose of amiodarone due.

The nurse is notifying the health care provider via telephone of a change in condition of a client diagnosed with an exacerbation of asthma. Arrange the nursing statements in order as they would be communicated using the SBAR method. All options must be used.

Hello. My name is Nurse Jones from Unit D. I am notifying you because Bob Smith has become increasingly more short of breath with audible wheezing this afternoon. Mr. Smith was admitted yesterday with an exacerbation of Asthma. He typically controls his asthma with oral medication and inhalers at home. He is ordered albuterol treatments twice daily. Oxygen is prescribed at 2 liters. Respirations are now 32 breaths/minute. The pulse oximeter is 89%. Lungs reveal wheezing in all lung fields. Slight nasal flaring is noted. I recommend that we increase his oxygen dose and prescribe an extra albuterol treatment.

The nurse is making assignments for the next shift. Which client can be assigned to a licensed practical nurse/licensed vocational nurse (LPN/LVN)? Select all that apply.

A client who needs assistance with colostomy irrigation A client who is receiving glargine subcutaneously

A parent brings a 5-year-old child to a weekend vaccination clinic to prepare for school entry. The nurse notes that the child has not had any vaccinations since 4 months of age. What is the best way for the nurse to determine how to catch-up the child’s vaccinations?

Check nationally published immunization guidelines.

Which task should a nurse choose to delegate to a nursing assistant? Select all that apply.

• Documenting a client's oral intake • Taking a client's vital signs • Performing a blood glucose check

The nurse is teaching the client to self-administer insulin. Learning goals most likely will be attained when they are established by the:

client, nurse, pharmacist, and health care provider so the client can participate in planning care with the entire team.

It is acceptable for the nurse to accept a verbal order from the physician in which of these situations?

During a medical emergency.

During assessment, a client verbally rates the pain as 9 out of 10 on a 0 to 10 pain scale. There is no indication of pain relief, even though the previous nurse signed for an opioid for this client one hour prior. The client denies receiving anything for pain since the previous night. Which action should the nurse take next?

Approach the nurse who signed for the opioid to seek clarification about the missing drug

A laissez-faire nurse-manager takes which action?

Delegates to staff responsibility for selecting a new nursing care delivery system (model)

When discharging a client after treatment for a dystonic reaction, an emergency department nurse must ensure that the client understands:

the client must take benztropine as ordered to prevent a return of symptoms.

A nurse hears a staff member giving incorrect information to the family of a client newly diagnosed with diabetes mellitus who is being discharged to home. The nurse wants to make sure the family has the proper information before the client is discharged. What should she do?

Have the nurse step outside of the room, discuss the situation, and use it as a learning opportunity.

A client has a reddened area over a bony prominence. The nurse finds an unlicensed nursing personnel (UAP) massaging this area. The nurse should:

instruct the UAP that massage is contraindicated because it decreases blood flow to the area.

A client has undergone a laparoscopic cholecystectomy. Which instruction should the nurse include in the discharge teaching?

Report bile-colored drainage from any incision.

A client is diagnosed with a chronic respiratory disorder. After assessing the client's knowledge of the disorder, the nurse prepares a teaching plan. This teaching plan is most likely to include which nursing diagnosis?

What are important nursing responsibilities when a referral to other health team members has been made for a client?

Sharing assessment information and information on the client’s capability and level of participation in meeting activities of daily living

A nurse is monitoring a client who developed facial edema after receiving a medication. What should the nurse do next?

Assess for shortness of breath.

The nurse is caring for a client with diabetes insipidus (DI). What is the nurse’s priority intervention?

Maintaining adequate hydration

The nurse is providing discharge teaching for a client with rheumatic endocarditis but no valvular dysfunction. On which nursing diagnosis should the nurse focus her teaching?

A nurse overhears another nurse say to a client, “If you do not stop spitting, I’m going to leave you outside in your wheelchair so that you miss your dinner.” What is the most appropriate response by the nurse who overhears this conversation?

A nurse overhears another nurse say to a client, “If you do not stop spitting, I’m going to leave you outside in your wheelchair so that you miss your dinner.” What is the most appropriate response by the nurse who overhears this conversation?

The nursing staff on the antepartal unit has leuprolide acetate and medroxyprogesterone acetate in the pharmacy for their clients. The nursing staff observed that the vials are similar in size and shape and could be confused. In order to promote client safety, the nursing staff should take which actions? Select all that apply.

Petition the pharmacy to relocate one drug away from the other product. Communicate concerns, measures to remediate, and final decisions to all staff. Collaborate with pharmacy staff to develop a location that works well for both groups.

The nurse is caring for an infant diagnosed with nonorganic failure to thrive. Which action should be included in the plan of care for the infant?

Weighing the unclothed infant at the same time every day

A client requested a do-not-resuscitate (DNR) order upon admission to the hospital. He now tells the nurse that he wants the medical team to do everything possible to help him get better and is concerned about the DNR order. Which response by the nurse is best?

It isn't a problem to rescind your DNR order; I'll let your physician know your wishes right away."

The unlicensed assistive personnel (UAP) reports to the nurse that the client with an abdominal hysterectomy who returned from the recovery room 1 hour earlier has saturated the blue pad with bright red blood. What should the nurse do?

Ask the UAP to obtain vital signs while the nurse calls the surgeon.

Which nursing diagnosis takes highest priority for a client with a compound fracture?

Risk for infection related to effects of trauma

A nurse-manager on an oncology unit has been informed that she must determine which nursing care delivery system (NCDS)/nursing care delivery model (NCDM) is best for efficient client care, client satisfaction, and cost reduction. Knowing that two or three registered nurses, four licensed practical nurses, and five nursing assistants are generally on duty on each shift and that the clients can easily be grouped by geographic location and client care needs, the nurse-manager and her staff appropriately decide to implement which NCDS/NCDM?

Which client is the best candidate for a vaginal birth after a caesarean (VBAC)?

client who had a breech presentation in her last pregnancy, and this pregnancy is a vertex pregnancy

A client is to be discharged from an alcohol rehabilitation program. What should the nurse emphasize in the discharge plan as a priority?

Which of the following clients should the nurse assess first?

Which client should the nurse assess first? The nurse should first assess the client showing symptoms of a deep venous thrombosis (DVT) (eg, unilateral edema , warmth, redness , tenderness on palpation).

Which client should the charge nurse assess first after receiving the change of shift report?

Which client should the nurse on the vascular unit assess first after receiving the shift report? The client with an above the knee amputation who needs a full body lift to get in the wheelchair.

Which client in the emergency department would the nurse assess first quizlet?

After receiving report, the nurse should assess clients with airway and respiratory problems first (eg, airway, breathing, circulation).

Which intervention is a priority for correcting vaso occlusion?

Vaso-occlusive crisis is treated with vigorous intravenous hydration and analgesics. Intravenous fluids should be of sufficient quantity to correct dehydration and to replace continuing loss, both insensible and due to fever.