A charge nurse is observing a nurse perform a sterile dressing change for a client. Which of the
following actions should the charge nurse identify as appropriate sterile technique?
-the nurse places the sterile packag
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A charge nurse is observing a nurse perform a sterile dressing change for a client. Which of the
following actions should the charge nurse identify as appropriate sterile technique?
-the nurse places the sterile package with the top flap opening away from her.
A nurse assumes care of a client following change of shift report and notes that the client’s
morning laboratory results have not been received. Which of the following actions should the
nurse take?
-Obtain a capillary blood glucose reading
A nurse is delegating tasks for a group of clients to an AP. Which of the following statements by
the nurse provides the right direction of communication with the AP?
-Tell me what time the client in room 205 voids for the first time after his catheter is
removed.
A Nurse is planning care for a group of clients on a med surg unit. Which of the following tasks
should the nurse delegate to an assistive personnel?
- Measuring a client’s hourly intake and output
A nurse in the ED is performing triage for a group of clients following a motor vehicle crash.
Which of the following clients should the nurse request the provider assess first?
-client who has arm contusions and manifests asymmetrical thoracic movement
A nurse on a quality improvement team is implementing a plan to decrease the rate of pressure
ulcers in a long-term care facility. Which of the following actions should the team take to
evaluate the effectiveness of the plan?
-Compare data from clients’ records regarding skin integrity with established criteria
A facility has identified an increase in health care associated UTI’s on the medsurg unit. A nurse
is participating in a quality improvement process to address this problem. Which of the
following should be the first step in the process?
- Establish best practice guidelines for reducing the incidence of UTIs.
A nurse is planning daily work and activities for the unit. Which of the following actions is the
nurse manager’s priority?
- Assign client care to staff
A nurse manager is auditing client charts and identifies an increase in ventilator-associated
pneumonia (VAP). Which of the following actions should the nurse manager take?
- Notify the quality improvement team
An RN delegates the task of obtaining the blood pressure of a client who is 2 hr postop following
a cholecystectomy to an LPN. The LPN reports a BP that is significantly higher than the client’s
previous reading. Which of the following actions should the RN take first?
-Recheck the client’s BP
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