A Nurse Is Reviewing a Clients Clinical Pathway Upon Discharge Following Hip Arthroplasty
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ATI LEADERSHIP PROCTORED Examination PRACTICE A GUIDE- LATEST
ATI LEADERSHIP PROCTORED Exam PRACTICE A GUIDE- LATEST A nurse is caring for a client who is hospitalized and has expressive aphasia. The client's family reports that the nurse failed to obtain written informed consent before inserting an indwelling urinary catheter. Which of the post-obit responses should the nurse make? "Procedures prescribed by the provider practice not require consent." "This is a procedure that does not crave written informed consent." • "Yous are correct. I will hash out this outcome with the charge nurse." "Would yous mind signing the informed consent form for the procedure at this time?" A nurse is assigning care for four clients. Which of the following tasks should the nurse plan to delegate to an assistive personnel (AP)? Instruct a client how to have their blood pressure. Administer subcutaneous medications to a client. Make up one's mind a client'southward intake and output. • Provide a status update to a client'south family member. A nurse is planning the belch of a newborn who requires apnea monitoring at dwelling house. To which of the following community agencies should the nurse anticipate referring the guardian of the newborn? Kid protective services Public health • Abode health Women, Infants, and Children A charge nurse is leading a committee that is revising the policy for client discharge. After developing the initial programme, which of the following actions should the nurse take next. Prepare target dates for completion. Place areas of support. Determine goals and objectives. • Implement recommended strategies A home wellness nurse is planning her daily visits and receives laboratory results for four adult clients. The nurse should offset visit the client who has which of the following laboratory values? Digoxin 1.0 ng/mL • WBC six,000/mm3 Platelets 100,000/mm3 Serum potassium 4.0 mEq/50 A nurse is developing a programme of intendance for a schoolhouse-age child whose family is homeless. Which of the post-obit findings should the nurse place as the priority? The kid has red sores at the corners of the oral cavity. The child has several small bruises on both legs. The child sleeps for about thirteen 60 minutes each night. The child is not regularly attending school A nurse manager is instruction about confidentiality requirements to the staff. Which of the following staff comments indicates an understanding of the educational activity? "Modify-of-shift report can be given at the client'southward bedside." "I can provide customer information over the phone if the caller identifies themselves equally family." "A client cannot see their medical record because it is considered to exist property of the facility." "Access to customer information is limited to direct care providers." A charge nurse is supervising the care of several clients. Which of the following deportment requires intervention by the charge nurse? A nurse is photocopying their assigned client'due south diagnostic exam results. • An assistive personnel (AP) documents a client'south vital signs on the client's paper-based graphic record. The unit of measurement secretary faxes a client's laboratory results to the provider. An RN stays with a customer who is reading the medical records that were requested. A nurse is reviewing a client'due south clinical pathway upon discharge following hip arthroplasty. Which of the post-obit data can aid the nurse in evaluating the cost effectiveness of the care? The age of the customer The availability of customs support groups • The length of the client'due south stay The type of insurance the customer carries A nurse is conducting an orientation class for new clients and their families at a long-term care facility. Which of the following client rights should the nurse address at the orientation? (Select all that apply.) The right to exist treated with respect and dignity The right to full access of the facility The right to refuse their medications The right to get out regardless of provider recommendations The right to be fully informed of their health conditions A nurse on a medical-surgical unit has arrived late to work multiple times over the past several weeks. Identify the sequence the nurse manager should follow when disciplining the employee. (Motility the steps into the box on the correct, placing them in the selected guild of performance. Use all the steps.) Schedule a meeting with the nurse. Provide a written reprimand. Temporarily remove the nurse from scheduled shifts. Cease the nurse's employment. Which of the following instructions provided by a nurse reflects effective communication regarding delegation of a task to an assistive personnel (AP)? "Have vital signs every 2 hours for the client who had a cholecystectomy in room 6122." "Bank check the urinary output at 1100 for John Doe and report it to me immediately." "Report to me if the chest tube drainage is excessive for Jane Doe in room 2438." "Please notify me of any clients whose vital signs or blood glucose levels are meaning." A nurse is caring for a nineteen-year-quondam client who has just been informed that their cancer has metastasized. The client tells the nurse that they do not want to continue chemotherapy. Which of the following responses should the nurse make? "I will have the provider talk over treatment options with your parents." "I will assemble information about palliative intendance for you lot." • "I volition contact your spiritual advisor to talk over this decision with yous." "I volition contact your parents about becoming your designees in your durable power of attorney." A accuse nurse is observing a nurse perform a sterile dressing modify for a client. Which of the following deportment should the accuse nurse identify equally demonstrating sterile technique? The nurse places the sterile package with the top ap opening abroad from the torso. • The nurse pinches the ap on the inside of the package rst to open it. The nurse reaches over the parcel to open up the left ap. The nurse pulls the last ap of the package abroad from the body. A nurse is planning discharge intendance for a customer who had a stroke and now has left-sided weakness. Which of the post-obit interventions should the nurse include in the programme of care? Request crutches from a medical equipment provider. Advise the customer to install grab confined in the bathroom at home. Encourage the customer to allow a home care adjutant to perform ADLs for them. • Contact hospice to provide follow-up care for the client. A accuse nurse is planning client intendance assignments for a unit. Which of the following tasks should the nurse assign to an LPN? A. Determine the swallowing ability of a client who has had a stroke. B. Provide an enteral feeding to a client who has Chron's disease. C. Develop a education plan for a client who has a new diagnosis of type two diabetes mellitus. D. Weigh a client who is 3 days postoperative following coronary avenue bypass grafting. A nurse is caring for a client who has a terminal illness and voices concern about performing self-care after discharge. Which of the post-obit statements should the nurse make? "A social worker will address your concerns after discharge." "You lot should plan to go to a skilled nursing facility subsequently discharge." "Your example manager volition coordinate the resource you will need." • "Yous will demand hospice intendance until yous feel stronger." A nurse manager is auditing client charts and identifies an increase in ventilator-associated pneumonia (VAP). Which of the following actions should the nurse manager take? Report the findings to the infirmary ideals committee. Alert central supply. Make full out an incident report. Notify the quality improvement squad. A nurse is caring for a client who is terminally ill and receiving nutritional support. The client'south adult children disagree virtually continuing nutritional back up. The dilemma is referred to the ethics committee. Which of the following actions should the nurse look the committee to take? Assist in weighing the options involved in the conclusion. Provide a legal representative for the family. Recommend the best class of activeness for the customer. Decide how the nursing team should resolve the dilemma. A nurse from a medical unit is asked to work on an orthopedic unit. The medical nurse has no orthopedic experience. Which of the post-obit clients should be assigned to the medical nurse? A client who is in balanced skeletal traction A client who had a total hip arthroplasty 3 days ago A client who has a fractured femur with a new cast A client who had a right above-the-knee joint amputation 24 hr ago A facility has been notified of a train derailment resulting in multiple clients experiencing life-threatening injuries. The external disaster plan has been activated. Which of the post-obit deportment should a charge nurse on the PACU take? Take extra wheelchairs to the emergency department. Transport PACU assistive personnel to assist with triage. Identify stable clients for transfer to a surgical unit of measurement. Study to the command center for further instructions. A nurse is caring for a client who requests pain medication. The nurse fulfills a promise to return with the medication within 15 min. The nurse is demonstrating which of the post-obit ethical principles? Beneficence Utility Justice Fidelity A nurse is providing preoperative teaching for a client who is scheduled for a total genu arthroplasty and speaks a different language than the nurse. Which of the following interprofessional team members should the nurse include in the discussion? Interpreter • Social worker Occupational therapist Spiritual counselor A nurse is observing a newly licensed nurse perform a sterile dressing change on a client who has a central venous catheter. Which of the post-obit deportment should the newly licensed nurse accept? Open the top ap of the sterile package towards the body. Maintain a 1.25 cm (0.v in) border around the edges of the sterile end. Choice up the first sterile glove by grasping the folded cu edge. Remove soiled dressings using sterile gloves. A nurse is caring for a customer who is recovering from a stroke. The provider recommends an extracranial-intracranial featherbed, but the client tells the nurse that he will non have the surgery. Which of the following actions should the nurse take? Inform the customer of the consequences of decreased cognitive circulation. Initiate a mental health consultation to determine why the client refuses the surgery. Discuss the client'southward concerns nigh having the surgery. Provide the client with information on boosted treatment options. A nurse is reviewing safe use of a wheelchair with a grouping of assistive personnel. Which of the following instructions should the nurse include? Raise the footplates of the wheelchair earlier transferring the client. Lock the brake on ane wheel of the chair when transferring the customer. Push button the wheelchair into the lift with the front wheels first. Stand behind the wheelchair when moving a client down a ramp. A nurse on a mental health unit is educational activity a newly licensed nurse most client rights. Which of the post-obit statements by the newly licensed nurse indicates an understanding of the teaching? "A nurse can provide basic treatment data to the client's employer." "A nurse can inform the customer about the risks and benefits of electroconvulsive therapy." "Clients on a mental health unit who are admitted voluntarily cannot leave against medical advice." "Clients on a mental health unit can refuse their medication." A nurse is receiving report from the assistive personnel (AP) assigned to the nurse'southward group of clients. Which of the following statements from the AP indicates the customer the nurse should appraise first? "The client who had abdominal surgery 3 days ago is reporting feeling constipated." "The client who had the hip replacement reports pain as 4 on a scale of 0 to 10." "The client who had an indwelling urinary catheter removed 8 hour ago reports an inability to void." "The client who is scheduled for belch today states they are gear up to sign their paperwork." A client who has back hurting presents to an emergency section and is provided a prescription for oxycodone. A staff nurse tells the charge nurse that they think the client is seeking drugs and is not actually in distress. Which of the following responses should the charge nurse make? "It sounds like nonpharmacological interventions would be best for this customer." "Let's withhold the oxycodone until we tin can consult with the provider." "Contact mental health services to adjust for a consultation." "Clients are the experts on their own pain." A nurse is caring for four clients. Which of the post-obit assessment findings is the priority? A client who has facial drooping following a stroke 8 hour ago A client who has a femur fracture and reports feeling curt of breath A customer who had an appendectomy 12 60 minutes ago and reports pain as 5 on a calibration of 0 to 10 A client who had an open cholecystectomy 4 days agone and has serosanguineous drainage on the wound dressing A nurse is caring for a client who is comatose. The client has a living will that declines the apply of artificial enteral nutrition as a life-sustaining measure, simply the client's family has requested that the sta begin tube feedings. Which of the post-obit actions should the nurse take? Insert the tube and begin feedings per the family'south request. Ask the provider to talk over the outcome with the family. Report the dilemma to the facility's dietitian. Review the client's request with the family A nurse director finds that at that place has been an increase in urinary tract infections on the unit. To address this problem, which of the post-obit deportment should the nurse manager accept first? Conduct an in-service that reviews proper catheter insertion and maintenance. Perform a nautical chart review to gather data about the clients who developed infections. Observe each staff nurse perform a urinary catheter insertion. Require completion of a self-paced pedagogy plan. A nurse on a quality comeback squad is implementing a program to decrease the charge per unit of force per unit area injuries in a long-term care facility. Which of the following actions should the squad take to evaluate the effectiveness of the plan? Compare data from clients' records regarding pare integrity with established criteria. Measure staff attendance at an educational program on managing pressure injuries. Interview clients regarding their satisfaction with their care. Monitor apply of supplies used to prevent pressure level injuries. A nurse is serving on a committee that is because the cosmos of a policy that will permit nurses to insert peripherally inserted fundamental catheters in the intensive intendance unit. Which of the following resources should the nurse consult in planning for this policy? National League for Nursing (NLN) American Academy of Nursing (AAN) Bureau for Healthcare Research and Quality (AHRQ) State Nurse Practice Human activity (NPA) CONTINUED....................DOWNLOAD FOR All-time SCORES.
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