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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 enema." Which of the following nursing actions is appropriate at this time?

A charge nurse hears a provider speaking to a staff nurse in anger concerning incorrect supplies that are available to perform a procedure. Which of the following statements by the charge nurse is appropriate?

A nurse in a provider's office is reviewing the laboratory findings for a client who is scheduled for surgery. Which of the following findings requires follow up by the nurse?

A charge nurse allows two nurses who are arguing about who gets to go to lunch first to go together. The charge nurse agrees to take care of both of the nurses' clients while they are at lunch. The charge nurse is demonstrating which of the following types of conflict management?

A nurse is caring for four clients on a medical-surgical unit. Which of the following clients should the nurse assess first?

A nurse manager is reviewing the admission history of four adults who were admitted to the medical-surgical unit during the shift. Which of the following situations is the nurse required to disclose information to an outside agency about the client or the client's circumstances?

A nurse is planning care for four clients and is assigning tasks to a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following should the nurse assign to the LPN?

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?

A nurse is caring for a client whose family member requests to view the client's medical record. Which of the following responses should the nurse make?

1. A nurse is caring for a client who is postoperative.

Nurses' Notes

1400:

Client transferred from PACU following appendectomy. Oriented to person, place, and time. Surgical dressing is dry and intact. Wound drain has 30 mL of serosanguinous drainage. Client reports pain is 7 on a scale of 0 to 10.

2200

Bowel sounds are present in all quadrants. Client is passing flatus. Urinary output is 400 mL over 6 hr. Client reports incisional pain of 4 on a scale of 0 to 10. Surgical dressing has a moderate amount of serosanguinous drainage. Wound drain has 0 mL output over 8 hr.

Vital Signs

1400:

Temperature 37.8° C (100" F)

Heart rate 110/min

Respiratory rate 18/min

Blood pressure 165/70 mmHg

SpO2 95% on room air

1800:

Temperature 37.8° C (100° F)

Heart rate 96/min

Respiratory rate 20/min

Blood pressure 125/78 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

A charge nurse is discussing disaster response with nursing staff. Which of the following statements indicates an understanding of the Hospital Incident Command System (HICS)?