NURSING > EXAM > Leadership Remediation Questions 100% GUIDE (All)

Leadership Remediation Questions 100% GUIDE

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What questions should the nurse ask when organizing care according to client needs and priorities (to effectively manage time)? - What must be done immediately (administration of analgesic or antiemetic, assessment of unstable client)? What must be done by a specific time to ensure client safety, quality care, and compliance with facility policies and procedures (routine medication administration, vital signs, blood glucose monitoring)? What must be done by the end of the shift (ambulation of the client, discharge and/or discharge teaching, dressing change)? What can the nurse delegate? What tasks can only the RN perform? What client care responsibilities can the nurse delegate to other health care team members, such as practical nurses (PNs) and assistive personnel (APs)? A nurse is caring for a client after an appendectomy who has a nasogastric tube to low intermittent suction. What are complications to assess for that can occur with a nasogastric tube and what actions should the nurse take to prevent? - Complications o Excoriation of nares and stomach – apply water-soluble lubricant to the nares as necessary. Assess the color of the drainage. Report dark, coffee-ground, or blood- streaked drainage immediately. Consider switching the tube to the other nares. o Discomfort – rinse the mouth with water for dryness. Throat lozenges can help. Provide oral hygiene frequently. o Occlusion of the NG tube leading to distention – irrigate the tube per the facility’s protocol to unclog blockages. Use tap water with enteral feedings. Have the client change position in case the tip of the tube is against the stomach wall. Verify that suction equipment functions properly. Define the following types of delivery systems: Functional nursing, Team nursing, primary nursing. - Functional nursing – an organizational mode for assigning nursing personnel that is task- and activity-oriented, using auxiliary health workers trained in a variety of skills. Each person is assigned specific functions performed for all patients in a given unit, and all report to the head nurse. - Team nursing – is a model in which a group of healthcare professionals, including nurses, care for a group of patients in the acute care or inpatient setting. The team usually consists of a charge nurse or team leader (also a nurse), more nurses, and patient care technicians or nurse’s aides - Primary nursing – a method of organizing nursing care in which one nurse (the primary nurse) is responsible for assessing the patient, planning appropriate care, and evaluating the progress of that patient throughout his or her stay in the hospital and on discharge.

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