Leadership Practice A
A nurse is caring for a client who is comatose. The client has a
living will that declines the use of artificial enteral nutrition as a
life-sustaining measure, but the client's family has reques
...
Leadership Practice A
A nurse is caring for a client who is comatose. The client has a
living will that declines the use of artificial enteral nutrition as a
life-sustaining measure, but the client's family has requested that
the staff begin tube feedings. Which of the following actions
should the nurse take?
Review the client's request with the family.
A nurse is developing a plan of care for a school-age child whose
family is homeless. Which of the following findings should the
nurse identify as the priority?
The child has red fissures at the corners of the
mouth.
A nurse manager needs to address an increased rate of client
medication errors. Which of the following strategies represents an
authoritarian approach to managing this issue?
Inform the staff of the penalties that can result
from medication errors.
A charge nurse is leading a committee that is revising the policy
for client discharge. After developing the initial plan, which of the
following actions should the nurse take next?
Determine goals and objectives.
A nurse is caring for a client who is terminally ill and receiving
nutritional support. The client's adult children disagree about
continuing nutritional support. The dilemma is referred to the
ethics committee. Which of the following actions should the nurse
expect the committee to take?
Assist in weighing the options involved in the
decision.
A nurse receives notification of a fire on the unit. Which of the
following actions should the nurse take first?
Assist clients who are in immediate danger to
a safe location.
A nurse is caring for a client who reports vomiting and diarrhea for
the past 6 hr. The nurse should identify that which of the following
assessments is the priority?
Obtain the client's serum potassium level.
A nurse is conducting an orientation class for new clients and their
families at a long-term care facility. Which of the following client
rights should the nurse address at the orientation? (Select all that
apply.)
The right to be treated with respect and dignity
The right to refuse their medications
The right to leave regardless of provider recommendations
The right to be fully informed of their health conditions
A nurse in an emergency department is admitting clients following
an earthquake. The emergency disaster plan has been
implemented due to the anticipated arrival of a large number of
casualties. Which of the following clients should the nurse
recommend the provider evaluate first?
A client who has a sucking chest wound
A nurse manager is teaching about confidentiality requirements to
the staff. Which of the following staff comments indicates an
understanding of the teaching?
"Change-of-shift report can be given at the
client's bedside."
A nurse is observing a newly licensed nurse perform a sterile
dressing change on a client who has a central venous catheter.
Which of the following actions should the newly licensed nurse
take?
Pick up the first sterile glove by grasping the
folded cuff edge.
A nurse is caring for a client who is 3 days postoperative following
open heart surgery and will be transferred to the medical-surgical
unit. Which of the following information should the nurse plan to
include in the verbal report?
The client's level of consciousness
A nurse manager is planning an in-service for a group of nurses
about caring for clients following stem cell transplants. Which of
the following instructions should the nurse manager include in the
teaching?
Place clients in positive-pressure airflow
rooms.
A charge nurse is preparing to observe a newly licensed nurse
perform a routine abdominal assessment. Which of the following
actions should the charge nurse expect the newly licensed nurse
to take?
Place the client in a dorsal recumbent position
for the examination.
A charge nurse is supervising the care of several clients. Which of
the following actions requires intervention by the charge nurse?
A nurse is photocopying their assigned client's
diagnostic test results.
A nurse is reviewing a client's clinical pathway upon discharge
following hip arthroplasty. Which of the following information can
assist the nurse in evaluating the cost effectiveness of the care?
The length of the client's stay
A nurse is caring for a client who has a terminal illness and voices
concern about performing self-care after discharge. Which of the
following statements should the nurse make?
"Your case manager will coordinate the
resources you will need."
An assistive personnel (AP) tells a charge nurse that it is unfair
that they have to take care of all the clients who are incontinent.
Which of the following responses should the charge nurse make?
"I delegate tasks to personnel based on their
job descriptions."
A nurse is caring for a client who is scheduled for outpatient
surgery. Which of the following actions should the nurse take to
verify the client gave informed consent?
Ask the client to explain the procedure that is
being performed.
A nurse is caring for a client who is hospitalized and has
expressive aphasia. The client's family reports that the nurse
failed to obtain written informed consent before inserting an
indwelling urinary catheter. Which of the following responses
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