RN COMPREHENSIVE PREDICTOR NURSING STUDY GUIDE/STUDY GUIDE FOR NURSING, over 200QA
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Course
NUR 6050
Institution
Harvard University
STUDY GUIDE FOR NURSING, over 200QA
What can be delegated to Assistive personnel (AP)?
- ADLs - bathing - grooming - dressing - ambulating - feeding (w/o swallow precautions) - positioning - bed making - specimen collection - I&O - VS (stable clients
A nurse on a med surge unit has recieved ch...
over 200qa what can be delegated to assistive personnel ap adls bathing grooming dressing ambulating feeding wo swallow precautions positioning bed maki
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STUDY GUIDE FOR NURSING, over
200QA
What can be delegated to Assistive personnel (AP)?
- ADLs - bathing - grooming - dressing - ambulating - feeding (w/o swallow precautions)
- positioning - bed making - specimen collection - I&O - VS (stable clients
A nurse on a med surge unit has recieved change of shift report and will care for
4 clients. Which of the following clients needs will the nurse assign to an AP?
A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a client who is learning to walk with a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
C
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days
ago to an AP. Which of the following info should the nurse share with the AP?
Select all:
A. the roommate is up independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. the client ate 50 % of his breakfast this morning
B
C
D
An RN is making assignments for client care to an LPN at the beginning of the
shift. Which of the following assignments should the LPN question?
A. Assisting a client who is 24 hr postop to use an incentive spirometer
B. Collecting a clean catch urine specimen from a client who was admitted on the
previous shift
C. providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
D
A nurse is preparing an inservice program about delegation. Which of the
following elements should she identify when presenting the 5 rights of
delegation. Select all:
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
B
C
E
,A nurse manager of a med surge unit is assigning care responsibilities for the
oncoming shift. A client is waiting transfer back to the unit from the PACU
following thoracic surgery. To which staff member should the nurse assign the
client?
A. Charge nurse
B. RN
C. LVN
D. AP
B
What is the study of conduct and character?
Ethics
What are the values and beliefs that guide behavior and decision making?
Morals
What is the right to make ones own personal decisions, even tho those decisions
might not be in the persons best interest
Autonomy
What are positive actions to help others
Beneficience
What is an agreement to keep promises
Fidelity
What is fairness in care delivery and use of resources
Justice
What is avoidance of harm or injury
Non-maleficence
A nurse is caring for a client who decides not to have surgery despite significant
blockages in his coronary arteries. The nurse understands that this clients choice
is an example of what principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificience
A
A nurse offers pain meds to a client who is postop prior to ambulation. The nurse
understands that this aspect of care delivery is an example of which of the
following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficience
D
A nurse is instructing a group of nursing students about the responsibilities
involved with organ donation and procurement. When the nurse explains that all
clients waiting for a kidney transplant have to meet the same qualifications, the
students should understand that this aspect of care delivery is an example of
which ethical principle
A. Fidelity
,B. Autonomy
C. Justice
D. Nonmaleficence
C
A nurse questions a med prescription as too extreme and light of the clients
advanced age and unstable status. The nurse understands that this action is an
example of which ethical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificence
D
Which of the following situations can be identified as an ethical dilemma?
A. A nurse on a med surge unit demonstrates signs of chemical impairment
B. A nurse over hears another nurse telling an older adult client that if he doesnt
stay in bed she will restrain him
C. A family has conflicting feelings about the initiation of enteral tube feedings of
their father who is terminally ill
D. A client who is terminally ill hesitates to name her spouse on her durable
power of attorney form
C
Most managers can be categorized as
authoritative, democratic, and laissez faire
makes decisions of the group
motivates by coercion
communication occurs down the chain of command
Work output by the staff is usually high-good for crisis situations and
bureaucratic settings
Authoritative
includes the group when decisions are made
Motivates by supporting star achievements
Communication occurs up and down the chain of command
Work output by staff is usually of good quality-good when cooperation and
collaboration is necessary
Democratic
makes very few decisions and does little planning
motivation is largely the responsibility of individuals staff members
Communication occurs up and down the chain of command and between group
members
Work output is low unless an informal leader evolves from the group
*the use of any of these styles may be appropriate depending on the situation
Laissez faire
The nurse should consider the hierarchy of human needs when prioritizing
interventions, which are?
- Physiological needs first (oxygen, shelter, food)
- Safety & security needs (physical safety)
, - Love and belonging
- Self esteem
- Self actualization
The ABC framework identifies, in order, the three basic needs for sustaining life
Airway
Breathing
Circulation
Nurses must follow what code of standards in delegating and assigning tasks
ANA codes of standards
What values would a nurse possess to be a client advocate?
- caring
- autonomy
- respect
- empowerment
What do the nurse need to keep in mind about the client when being their
advocate?
Client's religion & culture
When should planning discharge process begin?
a. at time of admission
b. 2 days after client is admitted
c. whenever the nurse has the time to do planning
d. when the physician has the discharge order
A
What is an interdisciplinary team?
A group of health care professionals from different disciplines
Fill in the blank:
1. _______ is used by interdisciplinary team to make health care decisions about
clients with multiple problems. 2. ________, which may take place at team
meetings, allows the achievement of results that the participants would be
incapable of accomplishing if working alone.
1 & 2 = collaboration
What is the nurse's contribution to an interdisciplinary team?
- knowledge of nursing care & its management
- a holistic understanding of the client, her/his healthcare needs & healthcare systems.
A four-month-old infant is admitted to the pediatric intensive care unit
with a temperature of 105°F (40.5 °C). The infant is irritable, and the nurse
observes nuchal rigidity. Which assessment finding would indicate an
increase in intracranial pressure?
1. Positive Babinski.
2. High-pitched cry.
3. Bulging posterior fontanelle.
4. Pinpoint pupils.
2
A client is receiving total parenteral nutrition (TPN). To determine the
client's tolerance of this treatment, the nurse should assess for which of the
following?
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