A client has been diagnosed with disseminated herpes zoster. According to OSHA and
CDC guidelines, which PPE will you need t put on when preparing to assess the client?
SATA
Gown and Gloves
A special protective air filter mask (N95 respirator)
During preceptorship, a senior student administers 1 ml of Regular insulin instead of 1
unit. The error was discovered when the patient experienced severe hypoglycemia.
When questioned, the student admitted using a 3mL syringe, which was "the only one",
she could find to give the med on time. According to Just Culture what type of behavior
did the student exhibit?
Reckless behavior, because a conscious decision was made
A 32-year-old patient with sickle cell anemia is admitted to the hospital during an acute
sickle cell crisis. Which order prescribed by the health care provider should the
prudent/competent nurse implement first?
Administer 100% O2 using a nonrebreather mask
A client S/P CVA has an order for deep endotracheal suctioning prn to maintain a patent
airway. The new nurse's assigned preceptor is not available, what should she do?
Ask a seasoned nurse to assist with suctioning
The nurse has a pre-op order to administer Diazepam 10 mg and Promethazine 25 mg.
The best method of administering these medications is to:
Administer the medication separately
According to the NC NPA the "practice of nursing by a RN" consists of 10 components.
In particular the nurse must assume the role of
Collaborating
A 48-year-old married client and father of 3 sons has chosen to discontinue radiation
treatments. The client's wife is not supportive of the decision and asks you to speak with
her husband. How should you respond?
This client is of sound mind and capable of making an informed decision
The nurse in a maternity unit is caring for a client who has just delivered twins. The
client voices concern about her ability to manage when she gets home. Which of the
following statements BEST illustrates quality care delivery by the nurse? SATA
, Here is some info on support groups for patients of multiples
We can arrange for follow-up visits with a home health nurse
In addition to working with interprofessional teams, the nurse should consider which
other QSEN/IOM Competency to ensure information is managed and/or charged in a
manner to reduce errors and support clinical-decisions
The Use of Informatics
A nurse has been instructed to place an IV line in a patient that has active TB and
suspected HIV. According to OSHA guidelines, the nurse should wear which of the
following PPE?
Goggles, mask, gloves, and gown
The department of Health and Human Services along with CMS regulates patient safety
by monitoring health outcome measures. Which of the following is an inpatient measure
a new nurse should follow to ensure quality pt. outcomes?
Heart attack and HF guidelines and core measures
A client asks the nurse not to tell his wife that his cancer has metastasized. He states he
does not want to burden her. What are the primary Code of Ethics Provision statements
the nurse should use to make a decision about a response to the request?
Primary commitment to the patient (Provision 2)
Inherent human dignity and worth (Provision 1)
A 36-year-old client with terminal cancer has signed an advance directive for no nutrition
or hydration. The client becomes less responsive and the family member with the legal
healthcare POA signs an informed consent for placement of a gastrostomy tube. What
is the best action for the nurse to take?
Respect and honor the healthcare POA decision
The parents of a terminally ill 6-year-old child with cancer collaborate with the physician
and decided to withhold further treatment. This decision has been met with opposition
from the paternal grandparent. The primary nurse best advocated for the client by
Showing respect for the parents' decision
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