78 mmHg

SpO2 96% on room air

Provider Prescriptions

1400

Ceftriaxone 1 gram IV daily

Acetaminophen 650 mg PO every 6 hours for pain

Which of the following should the nurse request as a recommendation in an SBAR report to the provider? Select All That Apply

Medication for elevated temperature

Insertion of NG tube for decompression

Oxygen 2 to 4 L/min via nasal cannula

Insertion of urinary catheter

Evaluation of surgical wound drain

Question Solution

Correct Answer : A,E

Rationale:

A. While the client's temperature is not extremely high, it is elevated and persistent. Requesting an antipyretic or further evaluation may be warranted to prevent potential complications.

B. Insertion of NG tube for decompression is not necessary as the client is passing flatus and has bowel sounds in all quadrants, indicating normal gastrointestinal function.

C. Oxygen 2 to 4 L/min via nasal cannula is not necessary since the client's SpO2 levels are within normal range on room air.

D. The client's urinary output is adequate (400 mL over 6 hours), so a catheter is not required at this time.

E. The lack of drainage from the wound drain could indicate a problem that requires immediate attention. This could prevent complications like infection or fluid accumulation.

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A. Verbally question the staff about the new equipment. B. Ask each nurse to read the procedure and sign a form acknowledging competency. C. Require each nurse to take a written examination about the new equipment. D. Allow time during the workday when each nurse can demonstrate proficiency.

Correct Answer is D

Explanation

Rationale:

A. Verbally questioning the staff does not effectively assess hands-on competency with the equipment.

B. Reading the procedure and signing a form does not ensure that the staff can actually use the equipment correctly.

C. A written examination tests knowledge but not practical skills.

D. Demonstrating proficiency ensures that staff can correctly operate the equipment in a practical setting, which is the most effective way to evaluate competency.

A. Discovery phase B. Decision phase C. Trial phase D. Complaint phase

Correct Answer is A

Explanation

Rationale:

A. Discovery phase is when depositions are typically taken, as this phase involves gathering evidence and information from parties involved.

B. Decision phase occurs after the trial to determine the verdict.

C. Trial phase involves presenting evidence and arguments, but depositions occur earlier during discovery.

D. Complaint phase involves filing the lawsuit and does not include depositions.

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Correct Answer is D

Explanation

Correct Answer is A

Explanation

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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?

Correct Answer is D

Explanation

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?

Correct Answer is A

Explanation

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?

A nurse is preparing to bathe a client. Which of the following actions should the nurse plan to take?

A nurse is planning a community diabetes mellitus management program. Which of the following goals should the nurse include for the program?

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?

A nurse is planning to assign care activities to the assistive personnel (AP) on her team. Which of the following activities can the nurse assign to the AP? (Select all that apply.)

A nurse manager is preparing an inservice program for the nurses on the unit about the use of a new infusion pump. Which of the following teaching strategies is the most effective way to ensure that the staff can use the device correctly?

A volunteer assigned to the pediatric unit reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?

At the beginning of the shift, an RN is preparing assignments for a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN?

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