NCLEX-NCBSN MANAGEMENT OF CARE Questions and Correct Answers the Latest Update and Recommended Version
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Course
NCLEX
Institution
NCLEX
The charge nurse is making assignment for the health care team. Which of these tasks can be
safely delegated to the licensed practical nurse (LPN)?
Teach the initial ostomy care to a client and family members
Care for a recent complicated double barrel colostomy
Provide stoma care for a client...
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NCLEX-NCBSN MANAGEMENT OF
CARE Questions and Correct Answers
the Latest Update and Recommended
Version
The charge nurse is making assignment for the health care team. Which of these tasks can be
safely delegated to the licensed practical nurse (LPN)?
Teach the initial ostomy care to a client and family members
Care for a recent complicated double barrel colostomy
Provide stoma care for a client with a well-functioning ostomy
Assess the function of a newly created ileostomy
• PROVIDE STOMA CARE FOR A CLIENT WITH A WELL-FXN OSTOMY
•
• The care of a mature stoma and the application of an ostomy appliance may be
delegated to a LPN. The condition of this client is stable, there's a low likelihood of any
emergency and care of this client is not too complex. The other options require higher
level care by the RN. The RN is the manager of care and is responsible for any initial
teaching; the LPN can reinforce information once it has been introduced by the RN.
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A nurse receives an illegible hand-written medication order. Which statement to the health
care provider reflects assertive communication?
"Would you please clarify what you have written so I am sure I am reading it correctly?"
"Please print in the future so I do not have to spend extra time attempting to read your
writing."
"I cannot give this medication as it is written. I have no idea of what you mean."
"I am having difficulty reading your handwriting. It would save me time if you would be more
careful."
• WOULD YOU PLEASE CLARIFY WHAT YOU HAVE WRITTEN SO I AM SURE I AM
READING IT CORRECTLY
• Assertive communication respects the rights and responsibilities of both parties. This
statement is an honest expression of concern for safe practice and a request for
clarification without self-depreciation. It reflects the right of the professional to give
and receive information.
The 83 year-old client, who lives in a retirement community, is admitted to the hospital. The
daughter reports the client no longer calls her every day, has not been participating in
previously enjoyed activities, such as weekly card games, and has allowed the garden to
become overgrown with weeds. The nurse should assign this client to a room with which of the
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A young adult who was admitted 24 hours ago for treatment following detoxification
An elderly person who was admitted three hours ago with a diagnosis of cyclothymia
An adolescent who was admitted the day before with a diagnosis of disruptive mood
dysregulation
A middle-aged person who has been on the unit for 72 hours with a diagnosis of persistent
depressive disorder
• A MIDDLE-AGED PERSON WHO HAS BEEN ON THE UNIT FOR 72 HOURS WITH A
DIAGNOSIS OF PERSISTENT DEPRESSIVE DISORDER
• These findings suggest depression. The most therapeutic milieu for this client includes
double occupancy with someone who has similar issues and/or whose condition is more
stable. A secondary consideration is matching roommates' ages as closely as possible,
because they potentially would share similar developmental challenges and needs. The
most stable client is the one with persistent depressive disorder. Cyclothymia is an
illness that's similar to bipolar disorder and disruptive mood dysregulation disorder is
characterized by irritability and episodes of extreme, out-of-control behavior.
A registered nurse from the float pool is assigned to the critical care unit on the evening shift.
Which of these clients should be assigned to the float pool nurse?
Tracheostomy of 24 hours with the client showing some respiratory distress
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