A nurse is caring for four postoperative clients. The nurse can delegate obtaining vital signs to an assistive personnel (AP) for which of the following clients?

A client who is 3 days postoperative following a craniotomy

A client who is 3 days postoperative following gastric bypass surgery

A client who is 2 hr postoperative following an abdominal hysterectomy

A client who is 1 hr postoperative following a thyroidectomy

Answer and Explanation

The Correct Answer is B

Rationale:

A. A client who is 3 days postoperative following a craniotomy requires careful monitoring due to potential complications from brain surgery, so vital signs should be taken by a nurse.

B. A client who is 3 days postoperative following gastric bypass surgery is stable enough for an AP to obtain vital signs, as the risk of immediate postoperative complications is lower compared to more recent surgeries.

C. A client who is 2 hr postoperative following an abdominal hysterectomy requires close monitoring due to the recent surgery, so vital signs should be obtained by a nurse.

D. A client who is 1 hr postoperative following a thyroidectomy requires vigilant monitoring for potential complications from recent surgery, which should be done by a nurse.

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Correct Answer is A

Explanation

Rationale:

A. Discovery phase is when depositions are typically taken, as this phase involves gathering evidence and information from parties involved.

B. Decision phase occurs after the trial to determine the verdict.

C. Trial phase involves presenting evidence and arguments, but depositions occur earlier during discovery.

D. Complaint phase involves filing the lawsuit and does not include depositions.

A. Inform the state medical board for an immediate investigation. B. Counsel the provider to determine the cause of the substance abuse. C. Notify the nursing supervisor of the concerns. D. Encourage clients to change to a different provider.

Correct Answer is C

Explanation

Rationale:

A. Inform the state medical board for an immediate investigation is not the initial step; concerns should first be reported to appropriate facility personnel.

B. Counsel the provider to determine the cause of the substance abuse is not the nurse’s role; this is a serious issue that requires reporting rather than counseling.

C. Notify the nursing supervisor of the concerns is the appropriate initial step to address the issue according to facility protocol.

D. Encourage clients to change to a different provider is not within the nurse’s scope of practice for handling the provider's behavior and does not address the root issue.

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A nurse is caring for four postoperative clients. The nurse can delegate obtaining vital signs to an assistive personnel (AP) for which of the following clients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager has received information from the facility's risk management department that a former client is pursuing a lawsuit. The nurse manager should anticipate a deposition will be required during which phase of the legal process?

Correct Answer is A

Explanation

A nurse notes a provider frequently arrives to the unit with bloodshot eyes and smells like alcohol after lunch. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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A nurse is teaching a group of newly hired nurses about the requirements for disaster planning. Which of the following statements by one of the newly hired nurses indicates an understanding of the teaching?

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