A nurse on a medical surgical unit has received
change of shift report and will care for four clients.
Which of the following clients needs should the
nurse assigned to an AP?
A. Updating the plan of care for a client who is post
operative
B. Reinforcing teaching with a client who is learning
to walk using a quad
,C. Reapplying a condom catheter for a client who
has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer -
....ANSWER...C
A nurse manager of a medical surgical unit is
assigning care responsibilities for the oncoming
shift. A client is awaiting transfer back to the unit
from the PACU following thoracic surgery. To which
of the following staff members should the nurse
assigned the client?
A. Charge nurse
B. RN
C. Practical nurse (PN)
D. Assistive personnel (AP) - ....ANSWER...B
A nurse is delegating the ambulation of a client who
had knee arthroplasty five days ago to an AP. Which
of the following information should the nurse share
with the AP? (Select all that apply)
,A. The roommate ambulates 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 medication 30 minutes ago
E. The client is allergic to codeine
F. The client 850% of his breakfast this morning -
....ANSWER...B
C
D
An RN is making assignments for a PN at the
beginning of the shift which of the following
assignments should the PN question?
A. Assisting a client who is 24 hour post operative to
use an incentive spirometer
B. Collecting a clean catch urine specimen from a
client who has a wound infection
C. Providing nasopharyngeal suctioning for a client
who has pneumonia
, D. Teaching a client who has asthma to use a
metered dose inhaler - ....ANSWER...D
A nurse is preparing an in-service program about
delegation. Which of the following elements should
she identify when presenting the five rights of
delegation? (Select all that apply)
A. Right client
B. Right supervision and evaluation
C. Right direction and communication
D. Right time
E. Right circumstances - ....ANSWER...B
C
E
By the second postoperative day a client has not
achieved satisfactory pain relief. Based on this
evaluation, which of the following actions should the
nurse take, according to the nursing process?
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