“I can keep it locked up in the charge nurse’s office for you.” “It should be fine. Just hide it in a drawer when you go down for a CT scan.” “I can call security to bring a form to fill out, and they will lock it up for you.” “You will have to call…
A nurse is precepting a nursing student in the pediatrics unit. The student nurse is preparing to administer an injection to a 14-month-old infant. Which statement by the student nurse indicates a need for further teaching by the licensed nurse?
“I will use a needle that is 7/8 inch to 1 inch long.” “I will give this injection at a 90-degree angle of insertion.” “I will give this injection in the vastus lateralis with a 27-gauge needle.” “I can give this injection with a 25-gauge needle in the dorsogluteal area.”
A newly graduated nurse has been assigned a client who has a chest tube following a thoracotomy. The new nurse is not experienced with chest tube management. Which action by the nurse is most appropriate regarding this assignment?
ask for a different group of clients ask to be floated to another area in the facility refuse the assignment, since she is not familiar with chest tubes accept the assignment and ask for another nurse to help her with the chest tube
The nurse is caring for a client when the attending physician comes in to round on the client. At the nurses’ station, the nurse smells alcohol on the physician’s breath when he hands her the chart with new orders. Which action by the nurse is appropriate?
notify the nurse manager and or/charge nurse confront the physician about the smell of alcohol tell the client and request a consult with another physician enter the new orders as written, since there was only a morning lab draw ordered
The nurse manager has approval to add one LPN to the RNs in the medical-surgical unit. Which nursing actions does the nurse manager expect the LPN to be able to perform according to most state board of nursing practice acts?
draw blood from a PICC line access a port with a Huber needle perform hemodynamic monitoring transcribe written physician orders perform finger-prick blood glucose testing
The nurse is caring for a client who is a Jehovah’s Witness and is scheduled for hip replacement surgery. The client refuses to sign consent for blood due to religious reasons. The client’s daughter has the power of attorney in case the client is unable to state his wishes regarding health care. The daughter tells the nurse, “I’m afraid if something goes wrong, dad might need blood. I want to sign a blood consent form since I’m his power of attorney.” The daughter is not a Jehovah’s Witness. Which action by the nurse is the best in this situation?
notify the charge nurse so that she can ask the night shift nurse to handle the situation go and get a blood consent form for the daughter to sign, noting that she has power of attorney over the client notify the surgeon that the client’s daughter has power of attorney and will be signing a…
The RN is precepting a nursing student in the surgical ICU. The client is diabetic and asks the student nurse about insulin. Which response by the RN is best ?
ask the family to step out of the room to ensure client privacy tell the client that he should ask the health care provider when she rounds inform the client that the student nurse cannot answer questions regarding medication allow the nursing student to answer the client’s question while the RN is present and can…
The ED nurse is attending orientation for nurses new to working in the ED. As part of the training, the ED nurse would expect to report which conditions to the proper authorities?
West Nile virus herpes simplex gunshot wounds elder abuse or neglect bites from an unknown dog
The nurse in the senior dementia unit noticed an increase in client falls over the last six months. She worked with other unit nurses and the nurse manager to develop a new fall risk assessment tool and updated the unit policies regarding falls. Which activity did the nurse engage in?
delegation peer review consultation client referral quality improvement
A nurse on a busy surgical floor is working with an unlicensed assistive personnel (UAP). The nurse understands that which task cannot be delegated to the UAP?
assisting a stable client to set up her meal tray for easy access assisting a client with an arm cast onto the bedpan calling report on a client who is being transferred to the observation floor helping a client ambulate in the hall who is post-op day 2 from a cardiac catheterization with stent placement