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A charge nurse is providing an inservice for staff nurses on the use of new IV pumps. Which of the following actions should the charge nurse take to best evaluate staff competency with the new equipment?

A nurse is supervising a licensed practical nurse (PN) who is providing care to a client who is postoperative. Which of the following statements by the client requires the nurse to follow up with the PN?

A nurse is discussing emergency response with a newly licensed nurse. The nurse should identify which of the following as a triage officer during the time of a disaster?

A nurse is preparing to witness informed consent for a client who is preoperative. The client asks the nurse, "Are there other options besides surgery?" Which of the following responses should the nurse make?

A nurse on a medical-surgical unit is preparing to contact a provider about a client's condition. The client is 6 hr postoperative from a total hysterectomy. The nurse notes the client's postoperative oxygen saturation is 94% and her apical heart rate is 110. The nurse should include information about the client's oxygen saturation level and heart rate in which component of the SBAR report?

1. A nurse is reviewing admission assessment and plan of care for a client who has Crohn's disease.

Admission Assessment

A 20-year-old admitted through emergency department who is experiencing an exacerbation of previously diagnosed Crohn's disease. Client has lost 6.8 kg (15 lb) over the past week and is too nauseated to keep anything down today. They noticed blood in their stool three days ago. Repeatedly stated to staff, "I do not want to live like this. I am totally frustrated with all you medical people."

Assessment:

Right lower quadrant abdominal pain, abdominal bloating, diarrhea (mucus and blood present), perianal abscess.

Vital Signs:

Temperature 37.5° C (99.5° F)

Heart rate 78/min

Respiratory rate 20/min

Blood pressure 102/54 mm/Hg

Provider Prescriptions

Medical management

CBC, CMP. ESR (erythrocyte sedimentary rate)

MRE (magnetic resonance enterography) of pelvis and abdomen

Corticosteroids for clinical finding management. Taper dose as indicated.

Gastrointestinal evaluation

Nutritional screening and management

Screen for depression

Smoking cessation program

Follow CDC recommended immunizations for those on immunosuppressive therapies.

Evaluate for possible surgical management.

Which members of the interdisciplinary team should the nurse anticipate being included the plan of care? Select all that apply.

A nurse on a medical-surgical unit has accepted a transfer to the Intensive care unit (ICU). Prior to transfer to the ICU, the nurse completes an online critical care and emergency nursing course. The nurse is demonstrating which of the following ethical principles?

A nurse and an assistive personnel (AP) are providing care for four clients who were admitted to the medical-surgical unit on the previous shift. The nurse should delegate meal assistance for which of the following clients to the AP?

A charge nurse delegates to a licensed practical nurse (LPN) the task of changing a client's dressing. Several hours later the client reports the dressing has not been changed. Which of the following actions should the charge nurse take?

A nurse checks with assistive personnel on the unit throughout the shift to determine if they are completing tasks. The nurse is demonstrating which of the following rights of delegation?

An assistive personnel (AP) reports to the nurse that a client who is 3 days postoperative following an abdominal hysterectomy has a dressing that is saturated with blood. Which of the following tasks should the nurse delegate to the AP?