PN Management Online Practice 2020 A

PN Management Online Practice 2020 A A charge nurse is a member of the resource management team for a skilled care facility. Which of the following actions should the charge nurse implement to ensure the facility is pro ...

PN Management Online Practice 2020 A A charge nurse is a member of the resource management team for a skilled care facility. Which of the following actions should the charge nurse implement to ensure the facility is providing cost-effective wound care for clients? develop a spreadsheet to prepare a budget for wound care supplies A nurse is assisting with the evacuation of clients who have been triaged following a mass casualty event. Which of the following clients should the nurse recommend for first transport to the health care facility? a client who has paradoxical respirations and has been assigned a red tag A nurse is assisting with the care of a client who has terminal cancer and is receiving chemotherapy. The client tells the nurse that she is only continuing treatment for her family’s sake. Which of the following responses should the nurse make? Let’s talk about your reasons for continuing treatment A nurse in a long term care facility is caring for a client who had a stroke 1 week ago. The client is experiencing left-sided weakness, difficulty swallowing, drooping of the mouth, inarticulate speech, and memory loss. Which of the following referrals is the priority for the nurse to make? When using the airway, breathing, circulation approach to client care, the priority referral is to the speech therapist. Difficulty swallowing indicates that this client is at risk for aspiration. Therefore, a referral for speech therapy is the priority. Speech therapy addresses ABC and aspiration issues A nurse overhears two assistive personnel discussing the details of a client’s diagnosis and treatment plan into the hospital cafeteria. Which of the following actions should the nurse take? inform the AP that the conversation violates clients confidentiality A nurse is participating in the unit's performance improvement program. The nurse should recognize that which of the following is a quality indicator? The facility-wide fall injury rate for the previous quarter is 3% A charge nurse in a long term care facility is reviewing message boards in various client rooms. Which of the following information should the charge nurse request one of the nurses remove from a client’s board? Hospice nurse visit at 1600 The charge nurse should request removal of any information concerning the client's medical diagnosis or treatment from message boards. HIPAA specifically prohibits posting a client's private health information because this violates the client's right to confidentiality. A nurse is reinforcing teaching about home safety with an older adult client. Which of the following statements by the client indicates an understanding of the teaching? I will paint the edge of each of my entry steps a different color A nurse is assigned to care for a client who is in isolation. Which of the following actions should the nurse take to manage time effectively while caring for this client? Organize care tasks into groups that can be performed at one time A nurse enters the room of a client who is sleeping and observes sparks coming from a frayed bed plug in the client’s electrical outlet. Which of the following actions should the nurse take first? evacuate the client A nurse is using a critical pathway while providing care to a client who is 3 days postoperative. Which of the following events should the nurse document as a variance? The client has a circular area of nonblanchable redness on her left heel. A variance occurs when expected outcomes of the critical pathway are not met. The nurse should document that the client has a circular area of nonblanchable redness on their left heel as a variance because this indicates the initial stage of a pressure injury and is not an expected outcome. A charge nurse is evaluating the documentation of care for four clients by a newly licensed nurse. Which of the following entries requires intervention by the charge nurse? administered 10.0u of insulin SQ for elevated glucose level This entry requires intervention by the charge nurse for the use of unapproved abbreviations (u, SQ), a trailing zero (10.0), and incomplete information including type of insulin, how it was administered, and glucose level.