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Category: Management of Care

Management of Care

The nurse is caring for a 7-year-old child who presents to the ED with multiple bruises, a fractured ankle, and cigarette burns on the arms. Which action by the nurse is most appropriate?

Posted on March 3, 2022 by NCLEX.ME Nurse

ask the parents if they burned the child with cigarettes ask the client to tell you what happened to cause the bruising and burns inform the parents that they c...

Management of Care

A client has been admitted to the oncology unit and has a large amount of cash, several credit cards, and several pieces of expensive-looking gold jewelry in her possession. Which action by the nurse is most appropriate?

Posted on March 3, 2022 by NCLEX.ME Nurse

tell the client to hide everything in her purse or a bag and put it in the closet offer to take her belongings to the charge nurse’s office where they can be lo...

Management of Care

The nurse is preparing to transfer a client from the ICU to the floor. Which of the following ensures continuity of care for the client? Select all that apply.

Posted on March 3, 2022 by NCLEX.ME Nurse

using approved abbreviations in documenting care providing report on the client using standard hand-off reports informing the receiving nurse of pending lab res...

Management of Care

A newly graduated nurse is working in the pediatric unit. Which client assignment is most appropriate for this nurse?

Posted on March 3, 2022 by NCLEX.ME Nurse

a 2-year-old with hemophilia A who has suddenly become less responsive a 15-year-old with sickle cell disease complaining of lower right quadrant abdominal pain...

Management of Care

The nurse is caring for clients on a medical-surgical floor. Which tasks related to pain management can be delegated to unlicensed assistive personnel (UAP)? Select all that apply.

Posted on March 3, 2022 by NCLEX.ME Nurse

assessing the pain level on a scale of 1 – 10 reminding clients to report pain immediately reporting facial grimacing in unresponsive clients asking clients dir...

Management of Care

The nurse is working triage in the ED when four clients present at the same time. Which client should be seen first ?

Posted on March 3, 2022 by NCLEX.ME Nurse

a 45-year-old female on oral contraceptives with unusually heavy menstrual bleeding a 24-year-old with a dog bite to the leg from the family dog who is current ...

Management of Care

The nurse has received report on the assigned night-shift clients. Which client should the nurse see first ?

Posted on March 3, 2022 by NCLEX.ME Nurse

a mildly confused client due for a dressing change on a diabetic ulcer to the heel an elderly, stable client who just returned from an MRI to rule out a kidney ...

Management of Care

A nurse is working with an unlicensed assistive personnel (UAP) to perform a bed bath on a client. The nurse notes the smell of alcohol on the UAP’s breath. Which is the priority nursing action?

Posted on March 3, 2022 by NCLEX.ME Nurse

Work closely with the UAP during the shift and observe for any signs of impairment. Complete the bed bath without comment. The unit is already short one staff m...

Management of Care

An external weather disaster has flooded the emergency department with several new clients. Which client should the nurse see first ?

Posted on March 3, 2022 by NCLEX.ME Nurse

the client complaining of chest pain and nausea who is diaphoretic the client with a simple fracture of the radius from a fall on a staircase the client complai...

Management of Care

A nurse is preparing a client scheduled for a right mastectomy. Which statement indicates the need for further intervention?

Posted on March 3, 2022 by NCLEX.ME Nurse

The client refuses to sign the blood consent since she is a Jehovah’s Witness. The client identifies the right breast as the surgical site for a right mastectom...

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POSTS

  • The ED nurse receives a client who is bleeding profusely from a gunshot wound. Which action by the nurse will best help this client avoid complications of extreme blood loss?
  • The nurse is preparing to remove a client’s abdominal stitches as ordered by the health care provider. Which is the correct action by the nurse?
  • The nurse is caring for a client with veno-occlusive disease. Which manifestations of this condition would the nurse expect to find?
  • The nurse is caring for a client with a gastric ulcer. Which menu choice by the client indicates an understanding of the nurse’s dietary teaching?
  • The nurse comes upon a client in the clinic who appears to have experienced a sudden cardiac arrest. After retrieving the automated external defibrillator (AED), the nurse knows to use the equipment in the following manner, as per the American Red Cross. List the steps in order. Use all the steps.

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