LEADERSHIP AND MANAGEMENT IN NURSING EXAM GRADED A+

LEADERSHIP AND MANAGEMENT IN NURSING EXAM GRADED A+ Which is a recommended guideline for safe computerized charting? Passwords to the computer system should only be changed if lost. 2. Computer terminals may be lef ...

LEADERSHIP AND MANAGEMENT IN NURSING EXAM GRADED A+ Which is a recommended guideline for safe computerized charting? Passwords to the computer system should only be changed if lost. 2. Computer terminals may be left unattended during client-care activities. 3. Accidental deletions from the computerized file need to be reported to the nursing manager or supervisor. (correct) 4. Copies of printouts from computerized files should be kept on a clipboard at the nurses' station for other nurses to access. rationale: After any inadvertent deletions of permanent computerized records, the nurse should type an explanation into the computer file with the date, time, and his or her initials. The nurse should also contact the nursing manager or supervisor with a written explanation of the situation. Options 1, 2, and 4 represent unsafe charting actions. Only option 3 follows the guidelines for safe computer charting. The licensed practical nurse (LPN) enters a client's room and finds the client sitting on the floor. The LPN calls the registered nurse, who checks the client thoroughly and then assists the client back into bed. The LPN completes an incident report, and the nursing supervisor and health care provider (HCP) are notified of the incident. Which is the next nursing action regarding the incident? Place the incident report in the client's chart. 2. Make a copy of the incident report for the HCP. 3. Document a complete entry in the client's record concerning the incident. (correct) 4. Document in the client's record that an incident report has been completed RATIONALE: The incident report is confidential and privileged information, and it should not be copied, placed in the chart, or have any reference made to it in the client's record. The incident report is not a substitute for a complete entry in the client's record concerning the incident. An unconscious client, bleeding profusely, is brought to the emergency department after a serious accident. Surgery is required immediately to save the client's life. With regard to informed consent for the surgical procedure, which is the best action? Call the nursing supervisor to initiate a court order for the surgical procedure. 2. Try calling the client's spouse to obtain telephone consent before the surgical procedure. 3. Ask the friend who accompanied the client to the emergency department to sign the consent form. 4. Transport the client to the operating department immediately, as required by the health care provider, without obtaining an informed consent. (CORRECT) RATIONALE: Generally there are only two instances in which the informed consent of an adult client is not needed. One instance is when an emergency is present and delaying treatment for the purpose of obtaining informed consent would result in injury or death to the client. The second instance is when the client waives the right to give informed consent. Options 1, 2, and 3 are inappropriate The nurse arrives at work and is told to report (float) to the pediatric unit for the day because the unit is understaffed and needs additional nurses to care for the clients. The nurse has never worked in the pediatric unit. Which is the appropriate nursing action? . Call the hospital lawyer. 2. Call the nursing supervisor. 3. Refuse to float to the pediatric unit. 4. Report to the pediatric unit and identify tasks that can be safely performed (correct) RATIONALE: Floating is an acceptable legal practice used by hospitals to solve their understaffing problems. Legally the nurse cannot refuse to float unless a union contract guarantees that the nurse can only work in a specified area or the nurse can prove a lack of knowledge for the performance of assigned tasks. When faced with this situation, the nurse should identify potential areas of harm to the client