NUR 114 PN MANAGEMENT STUDY GUIDE ALREADY GRADED A

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PN MANAGEMENT STUDY GUIDE 1. IN CHAPTER 1 OF LEADERSHIP BOOK LOOK OVER PRIORITY!!! Acute vs chronic, stable vs unstable and etc….. 2. REVIEW RACE AND PASS acronym for fire safety. 3. Quality Ind... icators (QIs) are st andardized, evidence-based measures of health care quality that can be used with readily available hospital inpatient administrative data to measure and track clinical performance and outcomes. Highlight potential quality improvement areas. Track changes over time. 4. Have client tell you their goals and expectations of treatment for recovery before admitted to rehab facility. 5. If patient doesn’t speak same language as nurse you should: a. select interpreter who is the same gender as the client. b. Ensure interpreters provided by facility have knowledge of medical terminology c. And choose interpreter from same ethnic background as client. 6. If on facility’s performance improvement team utilize evidence-based practice data r/t to whatever topic you are trying to create practice guidelines about. 7. Compromise example: "you can take turns going to lunch first every other week” 8. Babys should always be in supine position instead of prone. (babies are nose breathers can suffocate in prone postion!). 9. Example of quality indicator: the facility-wide fall injury rate for previous quarter is 3%. 10.Emesis, wound drainage should be included in total recorder output for post op client with Jackson pratt drain. 11.Charge nurse asked by two staff nurses to resolve a conflict about holiday scheduling. Which of the following actions should CN take? Encourage each staff nurse to give up something as part of negotiation!! 12.CN should intervene if she see’s a AP standing with feet close together while transferring client from bed to a chair…………… this is wrong technique should stand with feet a few feet apart to prevent injury! 13.Pt 2 days postpartum concerned about lack of family support and limited financial support should be asked by nurse how she feels about discussing her concerns with a social worker. 14.Check client for injuries if comes in to client lying on the floor. 15. Peer reviewed nursing journals- promote excellence in nursing and health care through the dissemination of evidence-based, peer-reviewed clinical information and original research, discussion of relevant and controversial professional issues, adherence to the standards of journalistic integrity and excellence, and promotion of nursing perspectives to the health care community and the public. ( use when contributing to the development of a fall prevention policy fo r clients who have dementia for PRIMARY GUIDELINES FOR CREATION OF POLICY). 16.Painting edge of each entry steps a different color for a elderly shows safety teaching has been successful for a elderly individual to promote safety and reduced injury. 17.Organize care into groups that can be performed at one time is a great thing to do for a patient in isolation. 18. Documentation must be detailed as far as how much insulin was given and type of insulin and time!!!! Units should be capatilized and use appropriate abbreviations. 19.A nurse assisting in planning of in home care for a client following a right hip arthroplasty PRIORITY should be reinforce teaching about client’s use of walker bc this promotes safety and prevention of injury!!! SAFETY always always #1. 20.Always document tx refused by client. 21.Reduced calorie diet for patient with hypothyroidism bc of weight gain often present in hypothyroidism. 22.If nurse feels anything she is assigned is unsafe and CN will not step in she will submit a written complain to the nursing supervisor!!!!! 23.Submit incident report to nurse manager for review. 24.Hospice nurse vist at 1600 should be on client’s board. 25.Resource management team = in order to ensure facility is providing costeffective wound care for clients CN should develop a spreadsheet to prepare budget for WOUND CARE SUPPLIES! 26.A committee that’s revising the facility’s polices and procedure for infection control should recomment to include “use 1:10 bleach solution to clean blood spills” in facility’s infection control manual. 27.If schizophrenia client develops comman hallucinations nurse should recommend transfer to ACUTE CARE FACILITY. 28.If nurse feels parents are refusing care/ or will not consent to something that could cause a child/ adolescent to die nurse should inform CN and recommend that social services be contacted. 29.If pt had stroke 1 week ago and is experiencing left sided weakness, difficulty swallowing, drooping of mouth, inarticulate speech and memory loss SPEECH therapy would be priority referral from nurse. (speech therapy assist with dysphagia) 30.Carbon monoxide poisioning s/s are HA, 31.A critical Pathway (CP) is a clinical management tool that helps medical care providers coordinate the delivery of patient care for a particular case type or condition. also known as clinical pathways, multidisciplinary pathways, collaborative paths, or care maps to name a few—utilize evidencebased practice and apply it to structured, multidisciplinary care tracts to provide guidelines for protocols and best practice. 32. A variance might be considered similar to a health care incident, or even a sentinel event depending on its severity. Variance is the more commonly used term when associated with care coordination, case management, utilization review or other processes that are proximate to but not direct patient care. 33. Example of variance would be a client has a circular area of nonblanchable redness on her left heel. 34.Examples when an incident report should be filed: a. Med errors b. Procedure/treatment errors c. Equipment-related injuries/errors d. Needlestick injuries e. Client falls/injuries f. Visitor/volunteer injuries g. Threat made to client or staff h. Loss of property (dentures, jewelry, personal wheelchair). 35.Reporting of incident/event/irregular occurrence/variance: evaluate response to error/event/ occurrence. 36.If you see sparks coming from frayed bed plug in clients room – evacuate the client (SAFETY FIRST) ***helpful to remember that when theirs a fire we ALWAYS evacuate our patients first!!! Our priority always is patient’s safety. 37.During a mass casualty event, nurse should always recommend first to transport to health care facility is a pt assigned a red tag with paradoxical respirations. 38.If taking a picture of pt who has not given consent that’s called a tort SPECIFICALLY a invasion of privacy. 39.If pt has a new diagnosis of type 2 DM. as far as interprofessional health care team nruse should consult a registered dietician to assist the client with glucose MANAGEMENT. 40.Nurse should take V/S of patient with new onset A FIB and reports lightheadedness. AP CAN ONLY TAKE V/S OF STABLE CLIENTS AND CLIENTS WHO HAVE ALREADY BEEN ASSESSED BY NURSE. 41.Consume fatty fish twice a week info to put on presentation about nutrition for cancer prevention at community center. 42.If pt says shes only continuing tx for her family sake as a nurse you are to ADVOCATE for that patient. Your response should be “lets talk about your reason for continuing tx” 43.If client expresses concern about learning to care for new colostomy you should suggest that client join ostomy support group, arrange a follow-up appointment with an enterostomal tx nurse, provide the client with thename and number of an ostomy supply delivery service, and request social work referral for the client to discuss financial concerns. 44. A nurse is discussing delivery models of care with a group of newly licensed nurses. Which of the following should the nurse include as an example of the functional nursing model of care? NURSES ARE ASSIGNED SPECIFIC TASKS TO PERFORM FOR EACH OF THE CLIENTS. 45.Model of care = Nursing models are constructed of theories and concepts. They are used to help nurses assess, plan and implement patient care by providing a framework within which to work. Nursing models also help nurses achieve uniformity and seamless care. 46. A nurse overhears two assistive personnel discussing the details of a clients diagnosis and treatment plan int the hospital cafeteria. Which of the following actions should the nurse take? Inform the APs that the conversation violates the clients confidentiality (DON’T GO DIRECTLY TO CHARGE NURSE OR SUPERVISOR COMMUNICATION TO THEM IS BETTER THAN GOING DIRECTLY UP LADDER). 47.A nurse on a pediatric unit is assisting with the care of a group of clients. Which of the following clients would benefit most from an interprofessional care conference? An infant who has cystic fibrosis and is continuing to lose weight (THIS CLIENT REQUIRES ASSISTANCE FROM OTHER MEMBERS OF HEALTHCARE TEAM B/C PT WITH CYSTIC FIBROSIS NEEDS NUTRITIONAL HELP, RESPIRATORY THERAPIST AND ETC.). 48.A nurse has just received change of shift report for a group of clients. Which of the following actions by the nurse demonstrates effective time management skills? Keeps a client to do list for the day. 49.A nurse is reinforcing teaching with a newly licensed nurse about the role of the nurse in informed consent. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? "My signature on the consent form indicates the client gave consent for the procedure voluntarily" 50.A nurse is contributing to the plan of care for a client who has a prescription for a 24 hour urine specimen. Which of the following interventions should the nurse plan to include? Begin the timed collection by discarding the first specimen Post the times for urine collection above the toilet in the clients bathroom Obtain a clean specimen collection container for use during the test 51.A nurse in a skilled nursing facility is caring for a group of clients. Which of the following actions demonstrates the nurses role as client advocate? The nurse assists a client in communication end of life decisions to the provider 52. A nurse is reinforcing teaching with newly licensed nurse about the administration of opioid pain medication. Which of the following instructions should the nurse include? Have a second nurse witness the disposal of the unused portion of the clients medication. (THIS IS CALLED A WASTE). 53.A nurse is monitoring a client who is receiving IV fluids via an infusion pump and notes the pump is malfunctioning. Which of the following actions should the nurse take? Place a tag on the IV pump 54. A nurse is assisting with the care of a client who was admitted with deep vein thrombosis. The client has decided to leave against medical advice. Which of the following actions should the nurse take? Explain to the client the risk involved in leaving the hospital 55.A nurse enters a clients room at the beginning of a shift. Which of the following findings requires intervention by the nurse? A capped bottle of sterile water was opened 36 hr ago 56. A nurse is delegating tasks to assistive personnel. Which of the following statements by the nurse includes the five rights of delegation? Ambulate the client in room 316 to the end of the hall before lunch and report any shortness of breath (5 RIGHTS: RIGHT TASK, CIRCUMSTANCE, PERSON, DIRECTION & COMMUNICATION AND RIGHT SUPERVISION & EVALUATION). 57.A PN ending her shift reports to the RN that a newly hired AP has not calculated the I&O's for several clients. What action should the RN take? Ask the AP if she needs assistance 58.A nurse manager is developing an orientation plan for newly licensed nurses. What information should the manager include in the plan? -Skill proficiency -Assignment to preceptor -Computerized charting -Socialization into unit culture -Facility policies and procedures 59.A nurse manager is providing information about the audit process to members of the nursing team. What information should the nurse manager include? -A structure audit evaluates the setting and resources available to provide care. -An outcome audit evaluates the results of the nursing care provided -A root cause analysis is indicated when a sentinel event occurs -After data collection is completed, it is compared to a benchmark 60.A nurse is participating in a quality improvement study of a procedure frequently preformed on the unit. What information will provide data regarding the efficacy of the procedure? Incidence of complications related to procedure 61.A nurse is hired to replace a staff member who has resigned. After working on the unit for several weeks, the nurse notices that the unit manager does not intervene when there is conflict between team members, even when it escalates. What conflict resolution strategy is the unit manager demonstrating? Avoidance 62.A nurse is preparing to transfer an older adult client who is 72hr postoperative to a long-term care facility. What information should the nurse include in the transfer report? -Advance directive status -Medical diagnosis -Need for specific equipment 63.A nurse is participating in an interprofessional conference for a client who has a recent C6 spinal cord injury. The client worked as a construction worker prior to his injury. Which members of the interprofessional team should participate in planning care for this client? -Physical Therapist -Occupational Therapist -Psychologist -Vocational counselor 64.A nurse manager is working with [Show More]

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