. The acuity level of the clients, Client needs and workers’ needs and abilities

The client's vital signs, The date of the incident, The time the client was to receive the medication

A nurse caring for four pt who are 24hrs post op. After the noon assessments, which of the following is priority?

Pt whose blood pressure at 0800 was 138/86 mm Hg and at 1200 is 106/60 mmHg

A client who requires urine specimen collections

A nurse has received morning report on 4 patients. Which of the following clients should the nurseassess first? (ATI 44)

Pt w/glipizide for type 2 DM and has a blood glucose of 68mg/dL

Confront the AP to encourage verbalization offeelings regarding the change

Cover pt, raise side rails, tell them you'll be back & give pt 2 pain meds

Client w/chest pain who states they just ate very spicy pizza

Client w/asthma who requested breathing treatment during the previous shif

The nurse separates the client's labia with her dominant hand

"The client must provide permission to share the records with you."

A client with a WBC of 14,000mm3 (14 × 109/L) and a temperature of 38.4° C

A client requiring abdominal wound irrigations & dressing changes Q3 hours

An RN leads two LPNsand three APs in providing care to a group of

Close window shades and curtains, Place blankets over clients who are confinedto bed, Move beds away from windows

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Leadership 2

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Questions 15

Answers

1
10.
. The acuity level of the clients
The clustering of the rooms on the unit
Specific requests from the staff
The number of anticipated client discharges
Client needs and workers’ needs and abilities
2
12 (ATI 49)
The client's vital signs
The date of the incident
The name of the provider who prescribed the medication
The potential adverse effects of the medication
The time the client was to receive the medication
3
A nurse caring for four pt who are 24hrs post op. After the noon assessments, which of the following is priority?
Pt whose blood pressure at 0800 was 138/86 mm Hg and at 1200 is 106/60 mmHg
Pt w/ wound drainage at 0800 was sanguineous and now it is serosanguineous
client w/ an order for insulin & a premeal BG of 110 mg & now 160 post-meal
Pt who reports pain as 4/ 10 at 0800 now reports pain as 6
4
8.
A client receiving continuous tube feedings
A client with difficulty swallowing food and fluids
A client requiring a colostomy irrigation
A client who requires urine specimen collections
5
A nurse has received morning report on 4 patients. Which of the following clients should the nurseassess first? (ATI 44)
Pt who got erythromycin for acute glomerulonephritis c/o reddish-brown UO
Pt given adalimumab for chron' s, has Ca level of 10mg/dl & headache
Pt w/glipizide for type 2 DM and has a blood glucose of 68mg/dL
A client given acyclovir for cellulitis reports pain in the affected leg
6
7.
Provide a positive reward system for the AP.
Confront the AP to encourage verbalization offeelings regarding the change
Ignore the resistance
Exert coercion on the AP
7
6.
Finish the bed bath & then give the pain medication to the other client
Cover pt, raise side rails, tell them you'll be back & give pt 2 pain meds
Ask the AP to nd out when the last pain medication was given to the client
Ask AP to tell the client in pain that meds will be administered after bath
8
2.
A client complaining of muscle aches, a headache, and history of seizures
Client w/chest pain who states they just ate very spicy pizza
Client w/minor laceration on index finger from cutting an eggplant
Client who twisted their ankle rollerblading and wants medication for pain
9
1.
A client requiring daily dressing changes of a recent surgical incision
A client scheduled for a chest x-ray after insertionof a nasogastric tube
Client w/asthma who requested breathing treatment during the previous shif
postoperative client preparing for dischargewith a new medicatio
10
15 (ATI 37)
The nurse separates the client's labia with her dominant hand
The nurse provides perineal care prior to inserting the urinary catheter
The nurse applies the sterile drape prior to inserting the urinary catheter
The nurse coats the indwelling urinary catheter with lubricant.
11
14 (ATI 29)
"The ethics committee will need to approve this request for you
"The client must provide permission to share the records with you."
"I will ask the nursing supervisor to obtain the medical records for you.
The health care provider will share this information with you."
12
4.
A client scheduled for physical therapy for therst crutch-walking session
A client with a WBC of 14,000mm3 (14 × 109/L) and a temperature of 38.4° C
A client who is ambulatory, demonstrating steadygait
A postoperative client who has just received anopioid pain medication
13
9.
A client who requires hourly measurement of vital signs
A client requiring abdominal wound irrigations & dressing changes Q3 hours
An older client requiring frequent ambulation
A client who requires a bed bath
14
3.
An RN leads two LPNsand three APs in providing care to a group of
A single RN is responsible for care to a group of six clients w/ a tech
Staff member assigned to determine client’s needs at home & start DC plans
Each staff member is assigned a specifc task for agroup of clients
15
8.
Close window shades and curtains
Open doors to client rooms
Place blankets over clients who are confinedto bed
Relocate ambulatory clients from the hallways back into their rooms
Move beds away from windows

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