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A charge nurse on a medical-surgical unit is planning assignments for a licensed practical nurse (LPN) who has been sent from the postpartum unit due to a staffing shortage for the shift. Which of the following client assignments should the nurse delega17,70 €
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A charge nurse on a medical-surgical unit is planning assignments for a licensed practical nurse (LPN) who has been sent from the postpartum unit due to a staffing shortage for the shift. Which of the following client assignments should the nurse delega
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A charge nurse on a medical-surgical unit is planning assignments for a licensed practical nurse (LPN) who has been sent from the postpartum unit due to a staffing shortage for the shift. Which of the following client assignments should the nurse delegate to the LPN?
b. A client who has fra...
A charge nurse on a medical-surgical unit is planning assignments for
a licensed practical nurse (LPN) who has been sent from the postpartum
unit due to a staffing shortage for the shift. Which of the following client
assignments should the nurse delegate to the LPN?
a. A client who is postoperative following a bowel resection with an NGT set
continuous
to suction
b. A client who has fractured a femur yesterday and is expecting SOB
c. A client who sustained a concussion and has unequal pupils
d. A client who has an Hgb of 6.3 g/dl and a prescription for packed RBCs
A nurse is caring for a client who is at 41 week of gestation and is
receiving oxytocin for labor induction. The nurse notes early deceleration
on the fetal heart rate monitor . Which of the following nursing actions
should the nurse take ? p . 88 ch 13 maternity
a. Continue the monitor the fetal heart rate- - Not a problem- absent or late are
a problem however CONFIRMED
b. Stop the oxytocin infusion
c. Perform a vaginal examination
d. Initiate an amnioinfusion
A nurse is conducting an initial assessment of a client and noticed a
discrepancy between the clients current IV infusion and the information
received during the shift report. Which of the following actions should the
nurse take?
a. Complete an incident report and place it in the client's medical record.
, RN COMPREHENSIVE PREDICTOR .
b. Compare the current infusion with the prescription in the client's
medication record.
c. Contact the charge nurse to see if the prescription was changed.
d. Submit a written warning for the nurse involved in the incident.
A nurse is reviewing the medical record of a client who has
schizophrenia and is taking clozapine. Which of the following findings
, RN COMPREHENSIVE PREDICTOR .
should the nurse identify as a contraindication to the administration of
clozapine ?
a. WBC count 2,900 /mm3 - AGRANULOCYTOSIS - 4,800- 15,000 is normal range
b. FAsting blood glucose 100 mg/dl
c. Hgb 14 g/Dl
d. Heart rate 58/min
ATI PHARM 116 Complications
A nurse is caring for a client who is at 38 weeks of gestation and has a
history of hepatitis C. The client asks the nurse if she will be able to
breastfeed. Which of the following responses by the nurse is appropriate?
a. You may breastfeed unless your nipples are cracked or bleeding.
b. You must use a breast pump to provide breast milk.
c. You must use nipple shield when breastfeeding.
d. You may breastfeed after your baby develops his antibiotics.
A nurse is caring for a client who has returned to the medical-
surgical unit following a transurethral resection of the prostate. Which
of the following should the nurse identify as priority nursing
assessment after reviewing the clients information? Exhibit.
a. Level of consciousness. (priority)- decreased LOC can mean less o2 going to
the brain ?
c. Deep-tendon reflexes
b. Skin turgor
d. Bowel sounds
, RN COMPREHENSIVE PREDICTOR .
A nurse is caring for a client who has hyperthermia .Which of the
following actions for the nurse to take ?
a. Submerge the adolescent feet in ice water
b. Cover the adolescent with a thermal blanket → if hypothermia.
c. Administer oral acetaminophen
d. Initiate seizure precautions
A nurse manager is updating protocols for belt restraints. Which of
the following guidelines should the nurse include.
a. Document the client's conditions every 15 minutes
b. Attach the restraints to the beds side rails
c. Request a PRN restraints prescription for clients who are aggressive
d. Remove the client restraints every 4 hours
A nurse is caring for a client who has bipolar disorder and is experiencing
acute mania. The nurse obtained a verbal prescription for restraints. Which
of the following should the actions the nurse take?
A. Request a renewal of the prescription every 8 hr.
B. Check the client’s peripheral pulse rate every 30 min
C. Obtain a prescription for restraint within 4 hr.
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