Take arterial blood gas abg specimen the laboratory

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2. A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the surgeon’s medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principles?

5. A nurse is caring for a client who has named a person to serve as his health care proxy. The client states he needs clarification about this type of advance directives. Which of the following statements by the client indicates a need for clarification?

- I have to choose a family member as my health proxy

C. A nursing student who is completing a preceptorship on the unit

D. The unit clerk

veracity.
.

9. An assistive personnel (AP) tells the nurse manager that she observed a nurse on the unit removing a small amount of morphine from syringes prior to administering the medication to clients. Which of the following actions should the nurse manager take first?

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12. A nurse is caring for several clients. For which of the following situations should the nurse complete an incident report?

13. A staff nurse has applied for a promotion. The hiring manager insinuates that if there was a sexual relationship between the two of them, the nurse's promotion request would get increased
consideration. Which of the following actions should the staff nurse take first?

A. Tell the hiring manager in clear terms that this conduct causes feelings of discomfort and that the behavior should stop immediately.

. D. Seek help from a trustworthy friend.

14. A nurse in a long-term care facility has assigned a task to an assistive personnel (AP). The AP refuses to perform the task. Which of the following is an appropriate statement for the nurse to make?

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C. Complete an incident report.

D. Obtain a routine urine sample from a newly-admitted client.

18. A nurse is caring for an older adult client who has a terminal illness and is ventilator-dependent. The client is alert and oriented and he wants to discontinue use of the ventilator. The nurse should be aware that continued treatment against the client's wishes is a violation of which of the following ethical principles?

B. Another staff nurse provides testimony about how a reasonable, prudent nurse would have handled the situation.

C. The client's attorney states that injury to the client could have been prevented. D. The client's provider testifies the nurse was at fault for the injury.

22. A nurse has been reassigned from her regular area of work to a unit that is short staffed. Which of the following actions should the nurse take first?

A. Ask what she will be assigned to do.

A. Make a copy of the incident report for the provider.

B. Submit the incident report to the risk manager.

29. . Following a tornado, a nurse is determining which of the clients assigned to her care can be discharged to free up beds for injured clients. Which of the following clients should the nurse recommend for discharge?

31. A nurse is preparing to administer a soap suds enema to a client who has constipation. As the nurse explains the procedure, the client states, "The doctor didn't tell me I was supposed to receive an enemy." Which of the following nursing actions is appropriate at this time?

Check the clients medical record for the providers prescription

33. A nurse on a medical-surgical unit is providing care for a group of clients. The nurse should delegate collection of which of the following specimens to the assistive personnel (AP)?

34. A nurse is caring for a group of clients. The nurse demonstrates adherence to the ethical principle of fidelity by doing which of the following?

38. A nurse is caring for a client who has advanced lung cancer. The client’s provider has recommended hospice services for the client. Which of the following statements by the client indicates a correct understanding of hospice care?

A. "I will have to be admitted to a long-term care facility in order to receive hospice care."

39. A nurse is caring for a client who is scheduled to have surgery. In preparing the client for surgery, which of the following actions is considered outside the nurse’s responsibilities?

A. Assessing the current health status of the client

On arrival, the neurosurgeon determined urgent surgical intervention is indicated for the fracture. Staff members have been unable to reach the client’s family. Which of the following actions should the nurse anticipate the neurosurgeon taking?

A. Invoking implied consent

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41. An assistive personnel comes to work with a new set of artificial nails. The nurse takes the ap to a private

C. A middle adult male who is diaphoretic and reports epigastric pain

D. A young adult with a painful sunburn of his face and arms

44. A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the steps in the order in which they should be performed in the case of a fire emergency. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

45. A nurse manager has received information from the facility’s risk management department that a former client is pursuing a lawsuit. The nurse manager should anticipate a deposition will be required during which phase of the legal process?

A. "I have my assignment and will start with room 1, then work my way to room 10."
Rationale:The AP’s statement does not include consideration of the tasks that need to be performed for each client, any time restrictions, or equipment to be organized.

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D. "The AP can re-delegate a task to another AP who has similar work experience."

Rationale:The nurse is demonstrating the right supervision when she assesses how the tasks are being accomplished and if any improvements are needed.

50. A nurse is assigned a group of clients at the start of the shift. Which of the following clients should the nurse plan to care for first?

C. A client asking about his PCA pump that contains morphine

Rationale:Clients who are administered morphine are at risk for respiratory distress. When using the urgent vs. nonurgent approach to client care, this is the client the nurse should care for first.

D. Inserting a nasogastric tube for a client

Rationale:This is an appropriate task to assign to the LPN. It is not appropriate to assign this task to the

Rationale:The nurse should place these clients together. It is appropriate because the child who has diabetes requires monitoring and teaching and the child who is postoperative from an appendectomy requires frequent assessments and interventions.

Rationale:A goal is the desired result toward which effort is directed. A reduced incidence of foot amputations is an appropriate, measurable, and realistic goal for a community diabetes management program.

C. A facility will be reserved for the program.

C. The client who is actively dying and requires IV pain medication
Rationale:The nurse should assume responsibility of this client because IV pain medications should be administered by RNs. Although this client may require less physical care, he may require more emotional care. The nurse should plan to spend extensive time with both the client and his family.

D. The client who is 3 days postoperative and requires a dressing change

A. Inform the staff member of her appraisal time for that day prior to change-of-shift report.

B. Schedule the appraisal interview as early in the shift as possible.

B. Assess a client who has hypomania for exhaustion.

C. Check the position of a client in soft wrist restraints.

59. .A nurse is caring for a client who is dying. The nurse should incorporate the principle of nonmaleficence into practice by taking which of the following actions?

60. A charge nurse is working with an assistive personnel (AP) who provides excellent care to client and is an effective team member. Which of the following actions should the nurse take first to recognize the AP’s contributions to client care?

61. A nurse is assessing a group of clients for hospice services. The nurse should recommend hospice care for which of the following clients?

D. False imprisonment

Rationale:Unlawfully restraining a client is false imprisonment. Clients have the right to refuse treatment.

D. Transfer a client to a stretcher.

E. Record urinary output.

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Rationale:Making assignments requires knowing the physiologic status of the clients on the unit, such as the stability of the clients' vital signs, the amount of health education they need, and the complexity of care involved. Clients who have an unstable physiologic status may require a higher level of skilled care.

68. A charge nurse is delegating tasks to nursing personnel on a 10-bed medical-surgical nursing unit. Which of the following assignments is an example of overdelegation?

69. A nurse is planning care for a group of clients at the beginning of the shift. Which of the following tasks should the nurse assign to the licensed practical nurse (LPN)?

A. Focus on providing care that prevents life-threatening emergencies.

C. Monitoring vital signs of a client who had an appendectomy 12 hr ago