1. The nurse is delegating tasks to an unlicensed assistive personnel(UAP).Which clienttask should the nurse delegateto the UAP? A. a client whose IV infiltrated and needs replacing B. a client on BiP... AP who needs arterial blood gases(ABGs) drawn C. a clientwithmilddementiawho needs assistancewithher food tray D. a client who needs a wet-to-dry dressing change on anabdominal incision2. A nurse is preparing a client scheduled for a right mastectomy.Which statement indicates the need forfurtherintervention? A. The clientrefuses to sign the blood consent since sheis a Jehovah’s Witness. B. The clientidentifies the rightbreast as the surgical sitefor a right mastectomy. C. The client signs the consentform with an X,which iswitnessed by two licensed personnel. D. The client expressesdoubt over her decision and asksthe nurse to explain more about the procedureAn external weather disaster has flooded the emergency departmentwith severalnewclients.Whichclient should thenurse see first ? A. the client complaining of chest pain and nausea who isdiaphoretic B. the client with a simple fracture ofthe radius from a fallon a staircase C. the client complaining of slight redness and itching atthe IV site in his hand D. the client presenting with a sprained ankle from a treebranch falling on himA nurse is working with an unlicensed assistive personnel (UAP)to perform a bed bath on a client. The nurse notes thesmell of alcohol on the UAP’s breath. Which is the priority nursing action? A. Work closelywith theUAPduring the shift and observefor any signs of impairment. B. Complete the bedbathwithout comment. The unitisalready short one staff member. C. Offer chewing gum to the UAP. Since she does not givemedications, she can do her job as she does not appear impaired. D. Call for another nurse to complete the bath and immediately reportthe UAP to the charge nurse or unitmanagerThe nurse has received reporton the assigned night-shiftclients. Which client should the nurse see first ? A. a mildly confused client due for a dressing change on adiabetic ulcer to the heel B. anelderly, stable clientwho justreturned from an MRIto rule out a kidney mass C. a clientwhose IVpump has startedbeeping, indicatingthat the antibiotic has completed infusing D. a client complaining of suddenwarmth and pain at anappendectomy incision site 48 hours after surgeryThe nurse isworking triage in the ED when four clients presentat the same time. Which client should be seen first ? A. a45-year-old female on oral contraceptiveswithunusually heavy menstrual bleeding B. a 24-year-old with a dog bite to the leg from the familydog who is current on rabies shots C. anirritable 4-month-old withapetechialrash, nuchalrigidity, and temperature of 103.4°F D. a 16-year-old football playerwith a twisted ankle whohas no deformity and a pedal pulse [Show More]
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