A nurse is participating on a facility committee charged with developing and implementing new documentation forms. The nurse should recognize which of the following factors as a potential restraining ... force for implementing this change? Staff resistance to learning new forms for documentation A nurse is assisting with the plan of care for a client who has heart failure and lives alone. There is a referral in place for a case manager to visit with this client. which of the following information should the nurse provide the client about the role of a case manager? "The case manager will coordinate and plan your care while you recover from your surgery." A nurse manager observes a nurse entering the room of a client who is on contact precautions without donning personal protective equipment (PPE). which of the following is the priority action for the nurse manager to take? Have the nurse exit the room and don proper PPE A school nurse is assisting with the care of a child who has multiple bruises to his trunk and ext. The child reports he fell out of a tree 2 days ago. The nurse's clinical findings show patterns of bruising not typically sustained during a fall from a tree. Which of the following actions should the nurse take? Report the findings to local police and social service agencies A nurse receives morning change-of-shift report and delegates several tasks to an AP on the team. Which of the following tasks should the nurse instruct the AP to perform first? Obtain the morning capillary blood glucose tests A nurse is caring for a client who has a history of severe multiple sclerosis and asks the nurse about completing a living will. Which of the following statements should the nurse make? "I will provide you with the information you need to complete advance directives" A nurse is contributing to the plan of care for several clients. Which of the following clients should the nurse refer to a case manager? Client who has neurologic deficits following a stroke. A nurse is reinforcing teaching with newly licensed nurse about the informed consent process for client scheduled for a surgical procedure. Which of the following information should the nurse include in the teaching? The person who will perform the procedure is responsible for obtaining informed consent. A nurse finds a client standing next to his bed with the side rails up. The client is visibly confused, not wearing an identification bracelet, and his IV is detached. The client states, "I can't remember my name." After assisting the client back to bed, which of the following actions should the nurse take next? Check the client for injury A nurse manager is planning to discipline a nurse who has been absent from work 6 times in the past 6 weeks for various reasons. Because this is the first instance of a potential problem with the employee, the nurse manager decides to take a nonpunitive approach to the absenteeism. Which of the following actions should the nurse manager plan to take? Verbally remind the employee about the facility's employment standards A charge nurse is providing teaching to a new staff nurse regarding delegation to AP. Which of the following information should the charge nurse include in the teaching? The nurse should be familiar with the task she plans to delegate. A 13-y/o female adolescent tells the charge nurse in the pediatric unit that she does not want a male nurse assigned to care for her. Which of the following responses should the nurse make? "I'll change the assignment so a female nurse is caring for you today." [Show More]
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