RN NURSING Exam 4 Questions & Answers, Rated 100%

RN NURSING Exam 4 Questions & Answers, Rated 100%-A nurse is planning discharge for a client following a hip arthroplasty. The client tells the nurse that she lives alone. Which of the following actions should the nurse ...

RN NURSING Exam 4 Questions & Answers, Rated 100%-A nurse is planning discharge for a client following a hip arthroplasty. The client tells the nurse that she lives alone. Which of the following actions should the nurse take first? A. Report the information to the provider B. Determine the specific needs of the client C. Document the client’s living situation in the medical record D. Contact the case manager for a consultation-B. Determine the specific needs of the client A facility provides annual staff education regarding ethical practice. A charge nurse recognizes a need for further education when which of the following behaviors is observed? A. A nurse gives prescribed opioids to a client who has a terminal illness and respirations of 8/min B. A nurse informs a confused client who wants to go home that he is going to stay at the facility until he is better- Nonmaleficence- avoid causing harm C. A nurse refuses to actively participate during an elective abortion procedure scheduled for her client D. A nurse explains to a client’s family that a DNR order includes withholding comfort measure--D. A nurse explains to a client's family that a DNR order includes withholding comfort measure A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report? A. The belief that the client has a difficult relationship with his son B. The steps to follow when providing wound care C. The time the client received his last dose of pain medication D. The client’s preferred time for bathing-C. The time the client received his last dose of pain medication A nurse is planning care for four clients who were classified using a disaster triage tag system following a mass casualty event. Which of the following clients should the nurse identify as the priority? A. A client who has a black tag B. A client who has a yellow tag C. A client who has a red tag D. A client who has a green tag-C. A client who has a red tag 1. A nurse enters a client’s room and identifies that the client is receiving too much IV fluid because the IV pump is not working properly. Which of the following actions should the nurse take first? A. Place a faulty equipment tag on the pump B. Complete an incident report C. Auscultate the client’s lungs D. Notify the provider-C. Auscultate the client's lungs A nurse is evaluating care for a group of clients. The nurse should consult the provider for which of the following clients? A. A client who has atrial fibrillation and a rapid ventricular rate of 105/min and is receiving diltiazem IV and weight-based heparin- Diltiazem (Calcium channel blocker ok for Hr 105) and heparin is used to treat Afib. B. A client who requires an IV intermittent bolus of vancomycin and has a creatinine level of 1.5 mg/dl- (0.6 to 1.2) C. A client who is ready for discharge after coronary artery stent placement and has a prescription for clopidogrel- (Plavix is anticoagulant Ok to give) D. A client who has a pacemaker and whose cardiac monitor shows sinus rhythm and intermittent periods of a wide QRS complex after each pacer spike-B. A client who requires an IV intermittent bolus of vancomycin and has a creatinine level of 1.5 mg/dl- (0.6 to 1.2) A charge nurse is completing client care assignments. Which of the following assignments is appropriate for a licensed practical nurse? A. A client who is receiving IV chemotherapy- RN B. A client who requires a blood transfusion to be administered- RN C. A client who requires discharge instructions for type 1 diabetes mellitus- RN D. A client who is 1 day postoperative and has a continuous bladder irrigation-D. A client who is 1 day postoperative and has a continuous bladder irrigation