A case manager is planning an interprofessional conference for a client who is three days post
op following ORIF of right hip. Which of the following concerns is the priority for discussion at
the conference?
A. Client does not have transportation for DC home
B. Client refuses to attend PT sessions
C. Clients home health nurse has not completed the home assessment
D. Client describes feelings of depression after family visits - ANS - B. Client refuses to attend
PT sessions.
The greatest risk to this client is postoperative complications due to immobility, such as
atelectasis or pneumonia
\A charge nurse is leading a committee that is revising the policy for client discharge. After
developing the initial plan, which of the following actions should the nurse take next?
A. Set target dates for completion
B. Identify areas of support
C. Determine goals and objectives
D. Implement recommended strategies - ANS - C. Determine goals and objectives
\A charge nurse is observing a newly licensed nurse who is caring for a client who has
pulmonary tuberculosis. The charge nurse should expect the newly licensed nurse to take which
of the following actions?
Place the client on droplet precautions.
Place the client in a room with positive-pressure airflow.
Wear a surgical mask when taking the client out of the room.
Wear an N95 respirator mask when in the client's room. - ANS - where an N 95 respirator mask
when in the clients room
\A charge nurse is observing a newly licensed nurses use of time management skills. Which of
the following actions by the newly licensed nurse indicates effective use of the skill?
A. Documents client tasks at end of shift
B. Gather supplies as needed while completing activity
C. Groups tasks that are in same location
D. Skips breaks throughout the day to complete work on time - ANS - C. Groups tasks that are
in same location
The newly licensed nurse should group tasks that are in the same location to effectively use
time. This prevents the nurse from going back and forth from one area to another. This action
promotes effective time-management skills.
\A charge nurse is preparing to observe a newly licensed nurse perform a routine abdominal
assessment. Which of the following action should the charge nurse expect the newly licensed
nurse to take?
, Place the client in a dorsal recumbent position for the examination.
Auscultate for vascular bruits with the diaphragm of the stethoscope.
Begin the assessment by using light palpation over the abdomen.
Ensure that the client has a full bladder before beginning the procedure. - ANS - Place the client
in a dorsal recumbent position for the exam or supine position and ensure that the client relaxes
her abdominal muscles
\A charge nurse is supervising the care of several clients. Which of the following actions
requires intervention by the charge nurse?
A. A nurse photocopying their assigned clients diagnostic test results
B. AP documents a client VS on clients paper-based graph record
C. Unit secretary faxing clients lab results to the provider
D. RN stays with client who is reading the medical records that were requested - ANS - A. Nurse
photocopying their assigned clients diagnostic test results
\A charge nurse observes that a staff nurse's behavior has changed over the past few weeks.
Which of the following behavior should the charge nurse identify as an indication that the staff
nurse might be working while impaired?
Spends free time conversing with other staff at the nurses' station
Frequent use of restroom
Asks other nurses to administer pain medication for their clients
Delegates tasks to assistive personnel - ANS - Frequent use of restroom
Frequent use of the restroom can indicate that the nurse might be working while impaired. Other
indications can include frequent errors, mood swings, inability to focus, and excessive wasting
of controlled substances.
\A charge nurse recognizes a trend of poor attendance at monthly staff meetings. To address
this issue, which of the following actions should the nurse charge nurse take first?
A. Write a memorandum emphasizing the importance of attending staff meetings
B. Appoint a task force to promote attendance at the meetings
C. Explore the reasons that staff are not attending the meetings
D. Reduce the number of meetings the staff are required to attend - ANS - C. Explore the
reasons the staff are not attending the meetings
\A client is considering having a tubal ligation and reports being uncertain about if it is the right
thing to do. Which of the following actions should the nurse take?
Provide information about alternate birth control methods.
Ask if the client has discussed the decision with their partner.
Emphasize the benefits of having the procedure.
Discuss the client's feelings about the procedure. - ANS - Discuss the clients feelings about the
procedure
\A client on a general surgical unit tells the nurse that staff members are not answering the call
light promptly. The client request to be transferred to another unit. Which of the following actions
should the nurse take first?
A. Notify charge nurse of clients request to transfer
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