After Receiving A Change-of-shift Report At 0700, The Nurse Should Assess Which Client First?
LEADERSHIP
one. A customer is brought to the emergency department following a motor-vehicle crash. Drug utilize is suspected in the
crash, and a voided urine specimen is ordered. The customer repeatedly refuses to provide the specimen. Which of the
following is the appropriate action by the nurse?
a. Tell the client that a catheter will exist inserted.
b. Document the customer's refusal in the chart.
c. Appraise the customer for urinary memory.
d. Obtain a provider'south prescription for a blood alcohol level.
2. A nurse is making shift assignments in a hospital. Which of the following tasks is advisable to assign to a
licensed practical nurse?
a. Choice up the meal trays after luncheon.
b. Administrate a nasogastric tube feeding.
c. Plan intermission times for assistive personnel.
d. Determine capability of ventilator settings.
3. A nurse preceptor is evaluating a newly licensed nurse's competency in assisting with a sterile process.
Which of the post-obit deportment indicates the newly licensed nurse is maintaining sterile technique? (SATA)
a. Places sterile items inside a one.25 cm (0.5 in) border around the edges of the sterile field
b. Opens the sterile pack by first unfolding the height flap away from her trunk
c. Prepares a container of sterile solution on the field after putting on sterile gloves
d. Removes the exterior packaging of a sterile musical instrument before dropping it onto the sterile field
e. Holds the sterile solution bottle with the characterization facing up
iv. A nurse enters a client's room and identifies that the client is receiving too much Four fluid because the 4 pump is
non working properly. Which of the following actions should the nurse take starting time?
a. Auscultate the client's lungs.
b. Notify the provider.
c. Place a faulty equipment tag on the pump.
d. Consummate an incident report.
5. A nurse is planning treat a group of clients and can consul care to a licensed practical nurse (LPN) and an
assistive personnel. Which of the following tasks should the nurse assign to the LPN?
a. Reinforcing teaching with a client who is learning to self-advertizingminister insulin
b. Ambulating a client who is scheduled for discharge afterward in the day
c. Administering morphine Iv bolus to a customer who is __ 60 minutes postoperative
d. Admitting a new client who has chronic back pain to the unit
6. A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a sterile gown
and gloves, which of the following actions by the newly licensed nurse demonstrates correct aseptic technique?
a. The nurse applies goggles.
b. The nurse turns her dorsum to the sterile field.
c. The nurse holds her easily above her waist.
d. The nurse puts on a face mask.
7. A nurse who is caring for a group of clients delegates drove of vital signs to an assistive personnel (AP).
Which of the following deportment should the nurse take to evaluate the delegated task?
a. Review vital sign trends at the end of the shift.
b. Recheck vital signs that are outside the expected reference range.
c. Ask the AP to write a summary of the delegated tasks during the shift.
d. Compare the vital signs the AP obtained with those taken by another AP on a previous shift.
eight. A nurse is caring for four clients. Which of the following tasks can be delegated to an assistive personnel?
a. Obtaining a stool sample from a client who has renal failure
b. Monitoring a customer who has a fluid brake
c. Assessing a client who just returned from hemodialysis
d. Reviewing dietary instructions for a client who has kidney stones
9. A nurse is triaging a group of clients following a disaster. Which of the following clients should the nurse
recommend for treatment outset?
a. A client who has a neck injury and is unable to breathe spontaneously
b. A client who has 2 open chest wounds with a left tracheal deviation
c. A client who has major burns over 75% of her body area
d. A customer who has bipolar disorder and is exhibiting signs of hallucination (Form 3)
10. A nurse manager is reviewing guidelines for informed consent with the nursing staff. Which of the following
statements by a staff nurse indicates that the teaching was effective?
a. "A family member can interpret to obtain informed consent from a client who is deafened."
b. "Consent can be given by a durable power of attorney."
c. "Guardian consent is required for an emancipated minor."
d. "The nurse can answer any questions the client has nearly the procedure."
After Receiving A Change-of-shift Report At 0700, The Nurse Should Assess Which Client First?,
Source: https://www.studocu.com/en-us/document/charles-r-drew-university-of-medicine-and-science/nurse-leadership/leadership-ati-proctored/16655524
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