Samenvatting

A nurse is assessing a client’s B
negligible progress in following a
weight loss program. Which of the
following is a likely reason the
client was unable to achieve a
short-term goal established during
the planning phase of the nursing
process?
A. The goals were realistic &
formulated w/client input.
B.The underlying problem behind
past weight gain was misidentified.
C. The implementation of the plan
used flexibility in following the
nursing actions
D.The nurse obtained objective &
subjective data during the
assessment.
A nurse has prepared an IM C
injection for a client who is
preoperative, when another client
suddenly calls for assistance. The
nurse asks an LPN to give the
injection since an AP is waiting to
take the client to surgery. Which of
the following is an appropriate
action by the LPN?
A. Prepare a new syringe for the
client who is preop
B.Give the prepared med to the
client who is preop
C. Help the client requesting
assistance so the nurse can give
the prepared injection
A new charge nurse on a busy A
surgical unit notes a high degree of
tension among the nursing staff.
Which of the following should be
the initial method used for
resolving this issue?
A. Work w/the nurses to identify
stressors
B. Hire additional staff to decrease
the work load
C. Make relaxation tapes available
to staff to help decrease stress
D. Reassess the situation after the
nurses have become accustomed
to the new charge nurse
A nurse on a long-term care unit
finds that a client receiving dialysis
was administered captopril
(capoten), which was not
prescribed for the client. In which
order should the nurse take the
actions listed?
1. Measure the client’s vitals
2. Instruct the client to call for assistance when getting out
of bed
3. Notify provider
4. Complete an incident report
5. Contact the risk manager
___Complete an incident report.
___Contact the risk manager.
___Instruct the client to call for
assistance when getting out of bed.
___Measure the client’s vital signs
___Notify the provider
A nurse is caring for a group of
clients on a med surg unit. Which of
the following tasks should the
nurse delegate to the assistive
personnel (AP)? Select all that
apply.
A. Collecting a stool specimen
B. Providing instructions about
using a spirometer
C. Measuring oral intake
D. Providing postmortem care
E. Changing a dressing
A, C, D
A nurse on a med surg unit is

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