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NUR 303 - Chapter 1 Guaranteed A+ Which action demonstrates that the nurse understands the purpose of the Rapid Response Team? a. Monitoring the client for changes in postoperative status such as wound infection b. Documenting all changes observed in the client and maintaining a postoperative...

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  • October 23, 2024
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  • 2024/2025
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NUR 303 - Chapter 1 Guaranteed A+

Which action demonstrates that the nurse understands the purpose of the Rapid Response Team?



a. Monitoring the client for changes in postoperative status such as wound infection



b. Documenting all changes observed in the client and maintaining a postoperative flow sheet



c. Notifying the physician of the client's change in blood pressure from 140 to 88 mm Hg systolic



d. Notifying the physician of the client's increase in restlessness after medication change ✅C. Notifying
the physician of the client's change in blood pressure from 140 to 99 mm Hg systolic



The Joint Commission focuses on safety in health care. Which action by the nurse reflects The Joint
Commission's main objective?



a. Performing range-of-motion exercises on the client three times each day



b. Ensuring that the client is eating 100% of the meals served to him or her



c. Assessing the client's respirations when administering opioids



d. Delegating to the nursing assistant to give the client a complete bath daily ✅C. Assessing the client's
respirations when administering opioids



Which action by the nurse shows an understanding of the principle of self-determination?



a. Allowing a postoperative client to decide to take medication with fruit juice rather than water

, b. Allowing a teenager to decide not to go to a clinic when there is evidence that she is having profuse
vaginal bleeding



c. Allowing a parent to decide not to proceed with a lifesaving operation for a 12-year-old client



d. Allowing an older client with dementia to decide not to take cardiac medication throughout the shift
✅A. Allowing a postoperative client to decide to take medication with fruit juice rather than water



The nurse is initiating a series of teaching sessions with an older client. What is the nurse's highest-
priority, client-centered action before beginning the session?

a. Ensure that the client's family is present and will participate.

b. Make certain that the client is wearing his glasses.

c. Have printed handouts ready to use during the session.

d. Schedule the session for early evening after the client's meal. ✅B. make certain that the client is
wearing his glasses



Which action best demonstrates the nurse using client-centered care when planning a menu for a
Vietnamese client who is newly diagnosed with diabetes?

a. Asking the client what food he or she would eat on a standard diabetic menu

b. Asking family members to make selections for the client from a diabetic menu

c. Ordering a typical diabetic meal for the client and planning diet teaching

d. Researching the Vietnamese culture before discussing diabetic meal planning ✅D. researching the
Vietnamese culture before discussing diabetic meal planning



The Institute for Healthcare Improvement (IHI) identified interventions to save client lives. Which
actions are within the scope of nursing practice to improve quality of care?

a. Insert a central line to give intravenous fluid to a dehydrated client.

b. Use sterile technique when changing dressings on a new surgical site.

c. Intubate a client whose oxygen saturation is 92%.

d. Prescribe aspirin for a client who presents with an acute myocardial infarction ✅B. use sterile
technique when changing dressings on a new surgical site

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