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Total Questions : 59

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Question 1:

A nurse is providing teaching to a client about advance directive. Which of the following statements by the client indicates an understanding of the teaching?

Answer and Explanation

A
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Question 2:

A nurse case manager is reviewing the electronic medical record of a postoperative client. Click to highlight the findings that require follow-up by the case manager. To deselect a finding, click on the finding again.

Exhibit 1 Nurses' Notes 1315:

Client is postoperative following an open cholecystectomy, Client's partner is at bedside. Surgical dressing intact, with small amount of serosanguineous drainage on dressings. Client reports pain as 5 on a scale of 0 to 10. Client requests a dose of their pain medication. Client expresses concern regarding the cost of prescription medications. Client reports being unable to find transportation to follow-up appointment

Plan of Care

1300:

Case management referral for discharge planning.

Client will need home health referral for dressing changes Client to follow up with the provider at the clinic in 1 week.

Answer and Explanation

Explanation

The nurse should always be aware of his or her role as the client's advocate. This includes notifying the provider or nurse manager of ant concerns that may interfere with management. This enables the client to get the necessary help and hence improving the chance of health restoration.

Client reporting being unable to find transportation to follow-up appointment is a potential barrier to the client's ability to adhere to their postoperative care plan, specifically their follow-up appointment. Lack of transportation may result in the client missing important postoperative evaluations and assessments, which could impact their recovery and overall outcome.

Client expresses concern regarding the cost of prescription medications does not require immediate follow-up by the case manager unless there are specific interventions or resources the case manager can provide to address the client's concerns.

Case management referral for discharge planning, home health referral for dressing changes, and client to follow up with the provider at the clinic in 1 week-These components of the plan of care have already been initiated or established and do not require further immediate follow-up by the case manager. They represent ongoing aspects of postoperative care management.


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Question 3:

A nurse is caring for a client who has uterine prolapse. The provider has recommended a total abdominal hysterectomy, but the client tells the nurse that the surgery is not an option. Which of the following is an appropriate action for the nurse to take?

Answer and Explanation

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Question 4:

A nurse on a medical surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and assistive personnel. Which of the following tasks should the nurse assign to the LPN?

Answer and Explanation

A
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Question 5:

A nurse is preparing a client for surgery. The client expresses concern that someone might steal her purse during the procedure. Which of the following actions should the nurse take?

Answer and Explanation

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Question 6:

A nurse overhears two assistive personnel (AP) discussing a client's care in the cafeteria. Which of the following actions should the nurse take?

Answer and Explanation

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Question 7:

A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?

Answer and Explanation

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Question 8:

A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report?

Answer and Explanation

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Question 9:

A nurse is teaching a class of newly licensed nurses about evidence-based practice. The nurse should include which of the following as the first step in evidence-based practice?

Answer and Explanation

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Question 10:

A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the following clients should the nurse assign a red tag?

Answer and Explanation

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