NR446 Cu Client Discharge Collaboration Essential Questions

1. The nurse collaborates with the social worker regarding the discharge of a client with a terminal diagnosis of end-stage liver failure . The nurse knows the client must be able to demonstrate what task ) regarding their plan of care to make decisions Independently ? Select all that apply Currently Selected : A, B, D A. Receive information B. Process Information C. Maintain patency of pleural tube. D. Communicate treatment preferences E. Ambulate 50 feet TID. F. Perform a – care regimen with minimal assistance 2. The nurse develops the plan of care for a client 4-hours post bilateral lung transplant . The nurse recognizes it is essential to prioritize what action( )Select all that apply. Answers : A – C,D,E A. Integrity of surgical dressing. B. Administer pneumococcal vaccine. C. Vital signs and continuous cardiac monitoring. D. Fluid volume management. E. Drainage amount to negative pressure drains. 3. A nurse is caring for a client who has a prescription for diazepam in divided doses. The client weighs 72 pounds. The minimum therapeutic dose for diazepam is 0.12mg/ kg / day in 3 divided doses. What is the minimum therapeutic dosage the client should be prescribed per dose? mg needed, round the answer to the nearest tenth ) 1.3 4. Which represents the nurse acting as a client advocate? Select all that apply. Currently Selected: ABC, E A. Questions orders that may cause harm to a client B. Notifies family members of critical health information C. Ensures clients are informed of their rights D. Directs a client in decision- making E. Speaks up when clients cannot speak for themselves 5. 5. The nurse on the orthopedic unit has received hand-off shift report. Place the clients in the order the nurse should see each client. Clients to be Ordered: 1. A client post knee arthroplasty who complains of difficulty breathing. 2. A client with complaints of pain 7/10 in right hip post total joint replacement 3. A client requiring discharge orders and teaching on cast care 4. A client scheduled for orthopedic surgery in 2 hours who needs IV cefazolin. 5. A client with osteoarthritis one day post internal fixation in the left hand 6. The nurse manager is interviewing a potential staff nurse. There has been a large amount of fluctuation in staff nurses on the unit, and they want to ensure that the new staff nurse will stay on the unit for a long period of time. Which question is most appropriate for the nurse manager to ask the potential staff nurse? A. “Where do you see yourself in 5 years?” B. “Have you ever been in a union?” C. “What kind of experience do you have?” D. “Are you planning on having children?” 7. The nurse receives change of shift report on a group of clients. Which 3 client(s) should the nurse assess first? Select 3 clients. A. A client who is receiving IV antibiotics and has a sudden onset of shortness of breath. B. A-client who is awaiting discharge home after completing a course of antibiotics. C. A client who is post-op day 3 after a hip replacement surgery and is requesting pain medication. D. A client with a history of anxiety requesting information about relaxation techniques. E. A client who is scheduled for a physical therapy session this afternoon F. A client with a central line catheter and a temperature of 101.8 F (38.8 C). 8. The nurse manager on a labor and delivery unit is reviewing sentinel events. The group most affected by sentinel events on the unit were African American women. The nurse manager should suspect this is attributed to 1 cultural experiences. One strategy that the nurse manager can implement to increase advocacy among nurses is 2. 1. Cultural experiences 2. Select answer choice Screening for explicit biases among staff reprimanding nurses that stereotype clients implicit bias training 9. A manager of a nursing unit suspects that one of the nurses is chemically impaired Place the actions in the order that should be taken . Nursing Actions • 1 Remove the nurse from client care • 2 Obtain drug and alcohol testing • 3 Discuss repercussions for being impaired • 4 Refer the nurse for outside help 10. A nurse provides a client with information about blood transfusion including its risk factors and side effects . Which principle of ethics is exemplified by this nursing action? Currently Selected A A. Fidelity B. Veracity C. Autonomy D. Justice 11. A client complained to the nurse manager that their nurse was too rough when moving them from the bed to the chair. Which action should the nurse manager take? A. A Report the abuse to the domestic violence hotline B. Immediately dismiss the nurse from their position C. Change the client’s nurse and investigate D. Complete an incident report 12. A charge nurse has received the change-of-shift report and is delegating tasks to the unlicensed assistive personnel (UAP). The nurse should instruct the UAP to complete which task first? A. Apply a condom catheter to a client who is incontinent. B. Deliver a clean voided urine specimen to the laboratory. C. Perform blood glucose monitoring of a client with a prescription for short-acting insulin prior to breakfast. D. Feed a client with bilateral casts due to upper arm fractures. 13. The nurse nominates another nurse for an award during Nurses Week. The nurse emulates a transformational leadership style. Which characteristic(s) would the nominated nurse display? Select all that apply. A,C,E,F A. A positive attitude that uplifts the entire staff B. Brings coffee for staff every shift they work C. Focuses on maintaining the status quo D. Allows others to choose their client assignments E. Inspires others to go above and beyond for clients F. Empowers others to achieve Long-term goals 14. The healthcare provider just informed a client that the best option to prevent sepsis is to amputate the client’s foot. The client states to the nurse, “I don’t want to lose my foot. I would rather die from the infection.” Which response by the nurse would promote autonomy in the client at this time? A. “I will be here for you through this process and answer any questions you have.” B. “If this were me, I would listen to the health care provider. You don’t want to die.” C. “Anything you decide is the best choice because you know what’s best.” D. I completely understand what you’re going through; I’ve had my wisdom teeth out.” 15. The nurse manager has just walked into their office when three nurses walk in and start complaining about issues that happened overnight. Place in order the steps the nurse manager should take to manage this conflict. • 1 Engage in active listening and open communication • 2 Identify the source of the conflict and the parties involved • 3 Explore potential solutions and alternatives • 4 Implement the chosen solutions • 5 Evaluate the effectiveness of the solutions 16. A nurse is concerned about their rights as an employee and wants to understand the legal protections related to fair treatment and discrimination. Which federal law should the nurse refer to that is specifically designed to prohibit discrimination in employment based on factors such as race, color, religion, sex, or national origin? A. Civil Rights Act of 1964 B. Occupational Safety and Health Act (OSHA) C. Americans with Disabilities Act (ADA) D. Family and Medical Leave Act (FMLA 17. The nurse has delegated the collection of a urine specimen to the unlicensed assistive personnel (UAP). Several hours later, the UAP is sitting at the desk talking and has not collected the specimen. What is the priority action by the nurse? C A. Inform the UAP that because the specimen was not obtained, a verbal warning about omission will occur. B. Ask another nurse to collect the specimen and take it to the lab since the UAP did not perform the task. C. Provide feedback to the UAP about the task that is not complete and determine the reason. D. Go to the client’s room, request that a specimen be provided, and then take it to the lab. 18. The nurse manager is assessing the unit and staff for signs of ineffective management. Which 4 assessment findings should the nurse manager identify that indicate ineffective management of the unit? Select four findings. A,B,C,F A. The executive nurse manager has indicated the floor has been losing revenue B. There has been an increase in medication errors and incident reports C. Staff seem disengaged during morning huddles and interdisciplinary rounds D. The rate for-client-falls for the past two months have-been-zero E. Staff have identified that they would like to form a shared governance F. Unlicensed assistive personnel have been calling out more often 19. The nurse manager has identified that central line-associated bloodstream infections (CLABSI) are on the rise within the intensive care unit (ICU). Place in order the steps the nurse manager should take next to address this problem. 1. Gather data to analyze the cause of the increased CLABSIS 2. Explore solutions on how to combat CLABSIS within the ICU 3. Select the specific interventions that will be used to combat the increase in CLABSIS 4. Implement the identified interventions to combat the increase in CLABSIS 5. Evaluate effectiveness of plan by reviewing the CLABSI rates in the ICU each month 20. The registered nurse is working in a team that includes unlicensed assistive personnel (UAP) and licensed practice nurses (LP). For each task, indicate whether the task is most appropriate to be delegated to the UAP or LPN. Tasks to be Delegated UAP Obtain hygiene supplies from the supply closet for a client’s bath Feed a client that has quadriplegia paralysis Remove a nasogastric tube from a client Obtain vital signs on a client recelving packed red blood cells Remind a client to use their cal light before getting ouf of bed Assess a client’s pain severity, location, and description Apply oxygen to з client at 2 Liters/minute via nasal cannula • LPN 21. The registered nurse (RN ) is working with a licensed practical nurse (LPN ) and unlicensed assistive personnel (UAP ) to care for clients on the unit For each task click to identify if the task is most appropriate for the UAP LPN or RN LPN Perform a dressing change. • • • • Help a client with bathing and toileting Administer IV push medications Ambulate a two days postop Participate updating the nursing plan of care perform an individual assessment on a client 22. Current Episode: Emily Johnson came to the emergency department on 08/15/XX with complaints of chest pain, shortness of breath, and dizziness. Medical History: Heart failure, coronary artery disease, hypertension, hyperlipidemia Surgical History: Coronary Artery Bypass Graft (CABG) surgery in 2015 Home Medications: Atorvastatin 40mg daily, Lisinopril 10mg daily, Furosemide 40mg twice daily Family History: Father had a history of sudden cardiac death Social History: Non-smoker, occasional alcohol consumption, retired school teacher Review the electronic health record. Complete the diagram by dragging from the choices below to specify what the client is most likely experiencing, 2 priority actions the nurse should delegate to the licensed practice nurse (LPN), and 2 priority parameters the nurse should monitor. 2. Priority Actions To Delegate to LPN • Educate client on cardioversion procedure • Obtain basic metabolic panel (BMP) and complete blood count (CBC) • Place the client on continuous cardiac monitor • Administer metoprolol 12.5mg oral tablet 1. Potential Condition • Atrial fibrillation • Heart block • Premature ventricular contractions 2. Priority Parameters to Monitor • Intake and output • Medication reconciliation • Conversion to ventricular arrhythmias • Electrolyte levels • Electrolyte levels 23 24 25. A nurse is assigned four clients and manages this assignment with a licensed practical nurse (LPM). Which client should the nurse assign to the LPN? A. The client in the transition phase of labor, exclaiming the need to push. The client’s cervix is Som dated and are effon-100% B. The client with cervical cancer who returned from surgery three hours ago. They are sleepy and vomiting but have an order for a rectal antiemetic. C. The postpartum client who is about to get out of bed for the first time since delivery. Their heart rate is 88 beats per minute, and blood pressure in 120/82 mmHg while dangling on the side of the bed. D. The client who is in preterm labor, on bedrest with bathroom privileges, and the partner has about the care regimen. 26. A nurse manager overhears a staff nurse openly express disagreement with a recent policy change. When discussing the issue with the nurse, which statement by the nurse manager is the most appropriate response? A. “Why didn’t you voice your concerns before the new policy was implemented?” B. “You should support this policy change because it was based on evidence-based practice.” C. “Let’s talk about your concerns about the new policy.” D. “Being open to change is an expectation of the nurses who work on this unit.” • • • • • 27. The nurse is experiencing an ethical dilemma when caring for a client with a terminal illness. Place the steps in order that the nurse should take to make an ethical decision. 1 Gather relevant information and determine who should be involved in the decisionmaking process 2 Consider all of the options and include key individuals 3 Weigh the positive and negative impact of each option and select the action aligned with the best outcomes 4 Agree upon and implement a plan of action 5 Evaluate outcomes and the decision-making process 28. A registered nurse is planning to delegate tasks to a licensed practical nurse (LP). Which task would be most appropriate for the registered nurse to delegate to the LPN? Currently Selected: B A. Evaluating a client’s response to a newly prescribed medication. B. Collecting blood sample from a client for laboratory lesling. C. Providing discharge education to a client newly diagnosed with diabeles. D. Developing a pian-of care for a client with muitiple chronie-conditions. 29. nurse leader is tasked with allocating scarce resources during a crisis situation. Which action by the nurse demonstrates the principle of utility in leadership? A Allocating resources based on clients’ socioeconomic status B Distributing resources randomly among the clients In need C Providing equal resources to all clients regardless of their condition D. Prioritizing resource allocation based on clients’ medical needs 30. A nurse is planning care for a client in a long-term care facility. Which task(s) can be delegated to unlicensed assistive personnel (UAP)? Select all that apply. A. Suctioning a client’s oral airway B. Collecting a stool specimen C. Obtain laboratory values via venipuncture D. Emptying an indwelling urinary catheter bag E. Performing a dressing change on a foot F. Educating about dietary restrictions 31. A nurse prepares to administer gentamycin 1000 in 250 of dextrose 5 in water (DSW ) to infuse over 1 hr . The drop factor of the tubing is 15 gtt /ml At what will the the needed , round the answer to the nearest whole number ) 32. The nurse is concerned about a recent overturn of a law that impacts clients in the labor and delivery unit. Which action should the nurse take to influence legislation and health policy? A. Write a personal blog about frustrations B. Lobby state and federal legislators by letter C. Contact local media to spark outrage D. Organize a strike with the nursing staff 33. A nurse manager seeks to improve the performance of the nursing staff on a busy medical surgical unit. Which action should the nurse manager take promote employee performance improvement ? Currently Selected : C A. Assign additional administrative tasks to keep nurses busy B. Issue verbal warnings for underperforming staff. C. Provide regular constructive feedback and coaching . D. Implement a punitive system for errors 34. While caring for a client, the nurse receives a call from an unlicensed assistive personnel (UAP) on another unit inquiring about the client’s prognosis. The UAP claims they are the client’s family member. Which action(s) by the nurse would violate the client’s privacy and confidentiality? Select all that apply. A. Providing laboratory results to the UAP B. Refusing to provide protected health information to the UAP C. Disclosing the client’s diagnosis to the UAP D. Asking the UAP to speak directly to the client. E. Encouraging the UAP to review the client’s medical record. 35. A charge nurse is developing an educational plan to ensure that staff members are aware of their legal responsibilities. Which action should the nurse do first when developing the plan? Currently Selected C A. Determine the availability of resources to meet the learning needs. B. Develop objectives for the educational plan. C. Assess the staff nurses’ current level of knowledge about legal responsibilities. D. Establish a plan for evaluation of the learning needs. 36. A new nurse manager is reflecting on the different leadership styles and the situations in which they are used. For each situation, indicate whether the lead style is Authoritarian , Democratic , or Laissez -Faire • During an emergency, the healthcare provider tells the nurse to prepare epinephrine. • The nurse manager values input from the nurses during interdisciplinary rounds • During a staff meeting, the nurse manager collects votes on the holiday schedule • The supervising nurse creates the client assignment schedule for the next shift • The nurse manager allows the float pool staff to create their own schedules 37. A nurse is driving home from their shift and witnesses a car accident with injured people . One appears to be unconscious. How should the nurse apply Good Samaritan laws to this situation? A. The nurse is not required to intervene, even though intervening is an ethical act B. The nurse should attempt to determine if the Individual has an advance directive before Intervening. C. The nurse should intervene because of the legal obligation to do so . D. The nurse should attempt to contact emergency services before intervening . 38. 08/16/XX 0903 The client is a 78-year-old female who arrived on the medical-surgical floor around 0900admission assessment was completed upon arrival Vital signs are posted in the flowsheet. She came via emergency medical services from a skilled nursing facility with confusion and a slight fever She has a history of hypertension, congestive heart failure, hyperlipidemia, frequent urinary tract infections, and dementia. She has an allergy to strawberries, is a full-code, and is being admitted with a urinary tract infection She is alert and oriented to person, bed-bound, with 2+ pitting edema in her ankles and feet, heart sounds have s1, 32 and s3 (a slight murmur is heard at the apex of the heart), pulses are 2+ in all extremities, and there are slight crackles in the lung bases. Incontinent of urine No pain, no wounds, 20 gauge IV in her right antecubital from today. Placed in the emergency department. The urine culture obtained showed positive for white blood cells and bacteria Blood cultures were obtained in the emergency department, waiting on results. The following six questions are part of an unfolding case study. Review the electronic health record. Which two findings require immediate follow-up from the nurse? Select 2 findings. A. Slight crackles in lung bases B. Blood pressure of 148/98mmHg C. Pulse oximetry of 92% on room air D. Heart murmur E. Incontinent of urt F. Pulses 2+ In all extremities G. Alert and oriented to person H. 2+ pitting edema in ankles and feet 39. Review the electronic health record. For each assessment finding, click to specify if the finding is consistent with the disease process of urinary tract infection or congestive heart failure. Assessment Finding Urinary Tract InfectionCongestive Heart Failure Slight crackles in lung bases 2+ pitting edera in ankles and feet Blood pressure of 148/98mmlg Alert and oriented to person Temperature of 99.8 Urine culture positive for bacteria Confusion Heart murmur 40. 08/16/XX 0903 The client is a 78-year-old female who arrived on the medical-surgical floor around 0900admission assessment was completed upon arrival Vital signs are posted in the flowsheet. She came via emergency medical services from a skilled nursing facility with confusion and a slight fever. She has a history of hypertension, congestive heart failure, hyperlipidemia, frequent urinary tract infections, and dementia. She has an allergy to strawberries, is a full-code, and is being admitted with a urinary tract infection She is alert and oriented to person, bed-bound, with 2+ pitting edema in her ankles and feet, heart sounds have s1, 32 and s3 (a slight murmur is heard at the apex of the heart), pulses are 2+ in all extremities, and there are slight crackles in the lung bases. Incontinent of urine No pain, no wounds, 20 gauge IV in her right antecubital from today. placed in the emergency department. The urine culture obtained showed positive for white blood cells and bacteria Blood cultures were obtained in the emergency department, waiting on results. Review the electronic health record. Complete the sentence using the drop-down lists. The nurse should immediately question the healthcare provider order of 1 Start continuous infusion of sodium chloride 0.9% at 75ml/hr to prevent the complication of 2 Liver failure. 41. Review the electronic health record. Complete the sentence using the drop-down lists. The nurse plans to address the contraindicated medication order by calling the healthcare provider and using the 2 SBAR communication tool. Answers 1-2 healthcare provider SBAR 42. Review the electronic health record. The nurse calls the healthcare provider to provide an SBAR about the contraindicated medication order. Place the information in the order the nurse should relay it when communicating with the healthcare provider. 1. Items to be Ordered Hello, this is the nurse calling about Mary Evans, a 78yo female who was just admitted to the medical-surgical floor for a UTI. I see that you have already placed orders for her, and I have a question about the bolus order. 2. Mary has a history of hypertension and congestive heart failure. 3. Her blood pressure was 148/98, pulse 92, pulse oximetry of 92% on room air, slight crackles in her lungs, and 2+ pitting edema in her ankles and feet 4. I am worried that if we bolus her that fast, she will develop pulmonary edema Can we run the bolus over 4-6 hours to help prevent this instead? 43. Review the electronic health record. The client is currently receiving a bolus of sodium chloride 0.9% to be given over 6 hours. Which three findings indicate that the client is not progressing as expected? Select 3 findings. Answers: A – F A. Pulse oximetry of 90% on room air B. Blood pressure of 142/89mmHg C. Urinary output of 500ml within 4 hours D. Decrease in weight by 1kg E. Pink frothy sputum F. Crackles throughout lungs 44. The nurse manager reviews quality measures from the unit and decides to change the staffing model to improve client outcomes. To best facilitate the new staffing model, which actions does the nurse manager implement? Drag each appropriate action to the Strategies for Effective Change box. Possible Actions Clearly state the consequences for staff who do not cooperate with the change. Inform the staff that the change will take place immediately. Strategies for Effective Change Communicate with the staff honestly. Dispel any rumors that may be circulating about the change. Do not disclose information related to the change until it is in the final phase. Listen actively to concerns without exhibiting defensiveness. Ask for feedback regarding the pending changes. 45. The nursing supervisor plans a meeting with members of the nursing staff and pharmacy. During the meeting, the pharmacy states that they have several new staff, and medications are not being delivered due to the failure of not being notified of medication needs in a timely fashion. What priority action should the nurse supervisor take? A. Analyze what was said about client safety during the meeting. B. Discuss the orientation and educational needs of new staff. C. Deconstruct the events that led to a delay in medication delivery. D. Discuss the adoption of new processes to reduce medication 46. The nurse has noticed during bedside shift report that the clients are continually incontinent and have not been turned. Which action should the new nurse take firat? A Say nothing and clean up the clients before the shift starts B. Conclude that there Is a lack of work ethic on the floor C. Report the previous nurse’s actions to the board of nursing D. Research the policies in place in regard lo glent turns and care 47. A nurse manager is preparing to confront an employee who is suspected of being chemically impaired. What response should the manager anticipate? A. Reluctant acceptance B. Gratefulness for finally being discovered C. Emphatic denial and defensiveness D. Silence 48. A nurse witnesses another nurse post a picture of a clients medical record on social media. To uphold the Health Insurance Portability and Accountability Act (HIPAA), the nurse should first inform the nurse manager of the situation and then complete an incident report. Answers 1 – 2 1. Inform the nurse manager of the situation 2. complete an incident report 49. The registered nurse (RN) is assessing four clients. Which client should the RN assess first? A A client who has a cast on the left leg and reports numbnes and paresthesia. B. A client with pneumonia who has an axillary temperature of 38° C (101° F). C. A client who has diarrhea and requests clear liquids for breakfast. D A client with type 1 diabetes mellitus who has a fasting blood glucose level of 150 mg/dL. 50A drop in a unit census causes a decrease in staffing needs. The manager uses group decision making and consults staff before revising work schedules and astignments. Which leadenthip utyle it the manager drplaying? A. Authorttanian B. Laissez-Taire C Democratic D. interastiona 51. An experienced nurse witnesses a new nurse ask the supervising nurse if finding their client on the floor is considered a fall. The supervising nurse says that it does not. The experienced nurse clarifies and says that it is considered a fall per the hospital policy. The supervising nurse tells the new nurse that it is not considered a fall despite the experienced nurse’s statement. What action(s) should the nurse take next? Select all that apply. A. Stay calm and think about the risks and outcomes before acting. B. File and internal incident or variance report C. Report the incident to the State Board of Nursing D. Reach out to the local news station about the incident E. Email the unit’s nursing manager about the situation F. Present the hospital policy to the supervising nurse and new nurse. G. Check the hospital fall policy to confirm the definition of a fall. 52. The nurse is caring for a group of clients. Place the clients in priority order that the nurse should assess them. Clients to Order A client with diabetes experiencing confusion, diaphoresis, and trembling. A client on fall precautions requesting to use the bedside commode. A client with sickle cell needing their scheduled pain medication. A client that needs smoking cessation education 53. The nurse manager is confronted by two disgruntled staff nurses that inform the manager they are unable to work together any longer, and if forced to work together, they will quit. Which statement by the nurse manager demonstrates avoidance of the conflict? A. We all need to sit down and discuss this further and see if there is a resolution.” B. “It would be beneficial to all staff if the two of you could resolve this issue together.” C. “I will just schedule you both on different shifts, so you do not have to work together.” D. *Let’s set goals to resolve this Issue so that client care will not be compromised.” 54. A nurse manager faces a challenging situation where a staff nurse responds defensively and denies any shortcomings during their performance review. The nurse manager maintains a professional demeanor and continues to provide guidance. Which ethical principle was prioritized during this situation? A. Paternalism B. Advocacy C. Nonmaleficence D. Beneficence 55. transgender client reveals to the nurse manager that other staff members are not using their preferred pronouns. What action should the nurse manager take first to advocate for this client? A. Assess the staff members’ bias against trang gender individuals. B. Transfer the client to another department C Perform a complete social assessment of the client D Ask the nurse educator to provide an in-service for the staff 56. A nurse is working with a leader who is known for their transformational leadership style. Which characteristics) and action(s) should the nurse anticipate the nurse leader to display that uphold transformational leadership style? Select all that apply. A. Relying solely on formal authority to Influence team members. B Maintaining a focus on routine tasks and processes C. Setting clear goals and monitoring progress closely. D Fostering a sense of shared vision and purpose among team members E. Inspiring and motivating team members to exceed expectations. F. Encouraging open communication and feedback within the team. 57. In the nursing unit, the charge nurse consistently encourages team members to participate in decision-making and values their input. This leadership approach, Known as 1transformational leadership, fosters collaboration and empowers team members to contribute to the overall goals of the unit. It contrasts with 2 leadership, where decisions are based on a structured exchange of rewards and punishments. Answers 1 – 2 transformational Select answer choice. transactional transformational 58. A nurse is caring for a client who has been prescribed a new medication by the healthcare provider. The client’s family expresses concerns about potential side effects and asks the nurse if alternative treatment options are available. What action should the nurse take? A. Explain to the family that the orders must be followed without any alterations. Suggest the family consult a pharmacist to better understand the medication’s side effects. C Administer the medication as prescribed, ensuring adherence to the treatment plan D Communicate the family’s concers to the healthcare provider 59. Review the electronic health record. A law firm retains a legal nurse consultant to review an electronic health record. Which finding in the record should the nurse report to the lawyers? A. The nurse should have reassessed the compression dressing sooner. B The nurse went beyond the scope of practice by removing the dressing. C The nurse provided care as per standard of care and acted correctly. D The nurse committed malpractice by applying a compression dressing. 60. nurse in the emergency department is caring for a client with extensive partial and full-thickness burns of the head, neck, and cheat. The nurse should prioritize care to prevent which complication? A Infection B Paralytic lleus C Airway obstruction D. Fluld Imbalance 61. A new nurse supervisor is precepting with their nurse manager and is concerned about ethical dilemmas. Which 2 situations should the nurse supervisor identify as ethical dilemmas in nursing leadership? Select two situations. A. accessing available resources fariy and equitably among al units B. Esci concers rased by team members about inadequate stating. Disciplining a nurse C. concers rased by team members about inadequate stating. Disciplining a nurse who reported unsafe practices to regulatory authorities. D. Allowing a staff member to continue working despite recurrent errors. equitable treatment to nurses and un cented assistive personnel. 62. After a natural disaster, a nurse is required to free up hospital beds for injured clients. Which client should the nurse recommend for discharge to make space for those injured in the disaster? A A 15-year-old client with sickle cell and a hematocrit of 5.8 g/dL A 7-year-old client with leukemia and a white blood cell count of 3.1 x10^3/pL C A 68-year-old client with confusion from a recent fall D A 47-year-old client who is 24-hours postoperative after a knee replacement 63. A client met has a consultation from a surgeon in the emergency department. The next day the client indicates to the nurse that the surgeon was rude and the client asks for a different surgeon. Which action should the nurse take? A. Describe the mandatory on-call process for surgeon selection. B. Expiore the client’s past experiences with surgeons. C Explain the surgeon’s excellent qualifications and reputation. D Contact the nursing supervisor to see what options are available. 64. nurse manager adopts a atrengths-based leadership approach within the healthcare team. Which outcome (8) should the nurse manager anticipate that indicaten effective implementation of the strengths based leadership principles? Select all that apply. A. Decreased morale due to focus on Individual strengths B. Improved job satisfaction among team members C. Greater engagement and motivation among team members D Limited career growth opportunities for team members E. Increased employee turnover due to unrealistic expectations F. Enhanced team caffaboration and cooperation. 65. A healthcare provider is preparing to perform a bedside procedure for a client who received 4mg of intravenous morphine for pain 20 minutes ago. A consent form is required. Which is the appropriate nursing action? A Inform the healthcare provider that the procedure will need to be delayed. B Obtain verbal consent and document in the medical record that the client understands the procedure. C Get the consent form sigged if the client is awake and talking. D Proceed with the procedure and have the client sign the consent when the medication effects have worn off. 66. A nurse in a long-term care facility is planning care for several clients. Which task should the nurse delegate to the licensed practical nurse (LPN)? Answers: A – D A Initiate the first postoperative dressing change. B Assess a new client with appendicitis. C Educate a client on insulin Injection technique. D Insert a nasogastric tube in a cllent. 67. A nurse is caring for a group of clients. After receiving bedside shift report, which client should the nurse assess firat A. A client who has a history of coronary artery disease (CAD) and reports chest pain post physical therapy B. A client who is rating their paln level 10/10 from an arthritic knee C. A client who has chronic obstructive pulmonary disease (COPD) and whose ogygen saturation is 09% D. A client who is returning from the post anesthesia care unit (PACU) following an abdominal surgery with excessive blood lose 67. A nurse discovers a co-worker passed out at the nurse’s station. In the past, this same co-worker has displayed signs and symptoms that may indicate substance abuse. Which additional behavior(s) by the co-worker support this suspicion? Select all that apply. A Frequent trips to the bathroom. B Refusing to answer call lights of clients that are not assigned. C Incorrect narcotic counts and no wastage. D Making an excessive number of medication errors. E Absence from the unit for extended periods. F Arriving early for shifts. 68. An emergency department nurse manager encourages staff nurses to attend a trauma conference for continuing education. Which ethical principle is the nurse manager exhibiting? A. Autonomy B. Beneficence C. Fidelity D Justice 69. new nurse graduate has an idea to streamline the admission process on their unit and presents it to the nurse manager. Which statement made by the nurse manager displays leadership? A “I have worked on this unit longer than you, and this is how the admission process works.” B. “I invite any helpful ideas, so do not be afraid to make a suggestion.” C “I am sorry, but the unit is too busy right now, and I do not have time to fix something that is not broken.” D “You may be a new graduate with fresh ideas, but these ideas are time-consuming.” 70. Which action demonstrates that the nurse manager performs with effective emotional intelligence skills? A. Prioritizes emotion over reason when making decisions. B Effectively manipulates the emotions of others to achieve goals. C. Attempts to remove emotion from decision making. D. Regulates their own emotions and recognizes the emotions of others. 71. Review the electronic medical record. Which action should the nurse take at 0946? A Complete the NIH Stroke Scale Administer labetalol IV push C Perform venipuncture for laboratory values D Administer the IPA per protecel 72. A nurse manager Is facilitating confict resolution among two staff members. Which action(s) should the charge nurse take to manage the conflict effectively? Select Currently Selected: A, D, E A. Using active listening to understand perspectives B. Encouraging ataff lo-only discuss their feelings with a theropist C Providing a compromise to reach a midpoint agreement D. Identifying common goals and shared interests E. Setting clear ground rules for respectful communication F. Allowing one team member to dominate the conversation 73. The nurse is admitting a new client facing a severe health problem. Which action will the nurse take to apply the ethical principle of advocacy? A. Engage closely and genuinely with the client and family. B. Provide standardized care for all gents, no matter their diagnosis. C. Seek opportunities to demonstrate professionalism. D. Make decisions for the client and family to lessen their responsibilities. 74. A nurse discovers a co-worker passed out at the nurse’s station. In the past, this same co-worker has displayed signs and symptoms that may indicate substance abuse. Which additional behavior(s) by the co-worker support this suspicion? Select all that apply. A Frequent trips to the bathroom. B Refusing to answer call lights of clients that are not assigned. Incorrect narcotic counts and no wastage. D Making an excessive number of medication errors. E Absence from the unit for extended periods. F Arriving early for shifts. 75. nurse is precepting a new nurse when a client requests insulin for their morning meal. The healthcare provider order states to administer aspart insulin 5 units subcutaneously with meals and at bedtime. The new nurse prepares the medication and shows the syringe to the nurse preceptor (refer to exhibit). What action should the nurse preceptor take next? A Accompany the new nurse to the client’s room for medication administration B Tell the new nurse to call the healthcare provider immediately C Ask the new nurse to demonstrate the steps they took to prepare the dose D Waste the medication and report the error to the charge nurse

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