Quiz 4 for NR 446 Week 5 on Delegation and Staffing in Nursing, Quizzes of Health sciences

Download Quiz 4 for NR 446 Week 5 on Delegation and Staffing in Nursing and more Quizzes Health sciences in PDF only on Docsity!

NR 446 Week 5 Quiz 4 1- Which statement by a staff nurse indicates an understanding of delegation to unlicensed assistive personnel? a) The nurse relinquishes accountability for client outcomes when care is delegated to a UAP b) The UAP can re-delegate a task to another UAP who has similar work experience c) The nurse should consider the UAP’s level of experience when making delegation decisions. d)The UAP can provide client education about how to perform basic self-care to the client 2- An UAP reports to the nurse that a client with a right above the knee amputation has a large amount of bright red blood on the residual limb. Which action should the nurse take first A) Assess the client’s residual limb dressing B) Tell the UAP to take the client’s pulse and bp C) Ask the UAP to gather wound supplies D) Request the UAP reinforce the dressing 3- The charge nurse assigned the care of a client with acute kidney failure and hypernatremia to a newly graduated registered nurse (RN). Which tasks may the RN delegate to the unlicensed assistive personnel (UAP)? Select all that apply. A)Record urine output when client voids B)Provide oral care every 3 to 4 hours C)Assessing daily weights for trends D) Administering 0/45% saline by IV line E)Monitoring for indications of dehydration F) Help the client change position every 2 hours 4- A nurse is delegating client care assignments for the shift. Which of the following tasks should the nurse delegate to the UAP? A)Teach a client about low sodium foods B)Evaluate pain relief for a client following the administration of a pain medication C)Perform wound irrigation for a client D) Measure and record intake and output for a client 5 - Which actions can the nurse delegate to a UAP SATA A) Assist a client with ambulation B) Assess a clients need for pain education C) Take routine vital signs every 8 hours D) instruct a client how to use an incentive spirometer E) Auscultate a clients bowel sounds 6- A nurse manager implements a change of nursing delivery system from functional nursing to team nursing. Which is the best approach by the nurse manager in dealing with a UAP who is resistant to the change? A)Confront the UAP to encourage verbalization of feelings regarding the change B)Ignore the resistance C)Provide a positive reward system for the assistant personnel

D) Exert coercion on the assistive personnel 7- The nurse is caring for four clients who are 24 hours post. Which client should the nurse assess first A) A client with a blood pressure 106/60, a change from 138/ B) A client with serosanguinous wound drainage, a change from sangiounus C) A client with a pain of 6, a change form 4 D) A client with a blood glucose of 110 mg/dl, a change from 162 mg/dl 8- What goal should be the nurse manager’s priority when organizing staffing and scheduling? A)Schedule staff so there is a minimum of overtime B)Ensure that there is adequate staff to meet the needs of each client C)Ensure that staff members achieve a healthy work-life balance D) Develop trust in staff by seeing that staffing is carried out in a fair manner 9-A nurse is creating an in-service class on ways to decrease client care costs. Which nursing actions can make a difference in decreasing the costs associated with a clients care SATA A) Allowing used equipment to sit in a closet rather than sending to central supply when no longer in use B) Participating in evaluation of lower-cost client care supplies for possible adoption C) Utilizing principles of cost containment when providing care to clients D) Reusing items for the same client E) Taking only as many supplies as needed for the shift into the client’s hospital room 10 - The uap reports to the nurse that a client that is three days post op following an abdominal hysterectomy has a dressing that is saturated with blood. Which task should the nurse delegate to the gap A)Observe the incision site B)Change the abdominal dressing C)Palpate for possible bladder distention D) Obtain vital signs 11- A nurse is working with a UAP while caring for a surgical client that is 1 day post. Which task should the nurse take responsibility for completing A)removing the abdominal dressing B)Helping the client into the shower C)Measuring vital signs D)Ambulating the client in the hallway 12- A nurse overhears two UAP from the medsurg unit discussing a hospitalized client while in the cafeteria. Which is the priority action by the nurse A)Document the occurrence in a personal log B)Quietly tell the UAPs that this is not appropriate C)Complete an incident report

D)Ask the nurse manager to provide an inservice program about confidentiality to the staff on the unit 13- Nurse on a medsurg unit is caring for 4 clients which client should the nurse provide care for first A)A client schedule for PT for the first crutch walking session B)Post op client who has just received an opioid pain medication C)A client with a WBC count of 14,000 and a temp of 38. D) A client who is ambulatory demonstrating steady gait 14- The nurse cares for a client with myasthenia graves and administers the clients pyridostigmine at 1400 when it was scheduled for 1130. The client attempts to eat before the med is given and aspirates resulting in respiratory distress. Which action by the nurse is a priority A) Document that the medication was administered at 1130 B) Notify the health care provider that the client aspirated C) Call an attorney to report the possibility of a change of negligence D) Elevate the head of the bed and apply supplemental oxygen 15 - A nurse is initiating staffing changes within a unit. Which action phase is part of Kurt Lewins change theory SATA A)Refreezing B)Maintenance C)Change D) Movement E)Unfreezing 16- The nurse is triaging four clients that were in a multiple car collision. The nearest emergency department is 20 minutes away. Which victim should be transported by helicopter rather than an ambulance to the nearest hospital A) A client with severe asthma; has a heart rate of 110 bpm, and is mildly short of breath B) A client with cold, clammy skin, a heart rate of 120 bpm, and unconscious C) A child cradling their left arm and crying D) An older client with a severe headache but alert 17- Which factor should the charge nurse consider first when assigning clients to RNs on the unit A) The charge nurse’s personal comfort level in making the assignments B) requests from the Rns on the unit C) The acuity of the clients on the unit D) The most experienced RN should receive the more complex clients

18- The following six questions are part of an unfolding case study. The nurse cares for a client in the medical-surgical unit. Review the EHR. Which two findings require immediate follow-up by the nurse? Select two. A) oxygen sat B)HR C) loose stools D) Pain rating E) Blood pressure F)Temperature 19- A nurse that works on a pediatric unit is requested to work on the trauma intensive care unit since two nurses called out sick. Which client assignment is most appropriate for the charge nurse in the trauma icu to delegate to the nurse A) Preparing for discharge to a step down unit 2 weeks after a motor vehicle crash with multiple injuries B) Hypovolemic shock from abdominal trauma during a physical altercation. Receiving packed red blood cell infusions C) Septic shock after surgery to repair an open femur fracture. Norepinephrine drips. Hemodynamic monitoring with pulmonary artery catheters D) Motor vehicle crash with traumatic head injury, pelvic fractures, bilateral femur. Intracranial pressure monitor 20 - A nurse receives report on four clients. Which client should the nurse see first? A) A client with a potassium level of 2.8mEq/L three days after a small bowel resection B) Client experiencing pain of 8 on a scale of 0 to 10 due to urolithiasis C) A client with mucus discharge in the ideal conduit bag two days post D) client with a sodium level of 134mEq/L seven days after a kidney transplant