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Ati Rn Capstone Leadership And Community Health Proctored Exam
Total Questions : 50
Showing 10 questions, Sign in for more3 days ago:
Client admitted to medical-surgical unit for left hip fracture due to fall. Client alert and active. Reports pain as 5 on a scale of 0 to 10.
Today:
Case manager evaluated client for initiation of discharge planning for transition to the home setting. Client lives alone but reports their adult child will stay with them during recovery. Past medical history significant for atrial fibrillation. Client has sustained three falls over the past 6 months. Client currently using wheelchair but will transition to walker as tolerated. No oxygen used in the home setting.
3 days ago:
- Metoprolol 25 mg PO twice daily
A case manager is participating in the care of a client. The case manager is planning the client's discharge. Which of the following interventions should the nurse include in the client's discharge plan?
Select the 6 interventions the nurse should include in the client's discharge plan.
0800:
- Provider prescribed azithromycin to client using computerized provider order entry.
0830:
- Nurse reviewed new prescription prior to medication administration and identified that client has allergy to macrolide antibiotics. Medication held and provider notified.
1 day ago, 0730:
- Client admitted to obstetrics unit in active labor. Group streptococcus B-hemolytic vaginal culture positive (expected: negative) at 36 weeks of gestation. Prophylactic antibiotics prescribed by provider.
1 day ago, 1930:
- Neonate born via vaginal birth.
Today, 2000:
- Neonate diagnosed with neonatal sepsis. Nurse identified that the client who gave birth did not receive prescribed antibiotics during labor.
1330:
- Provider prescription:
- Administer 6.0 units of regular insulin subcut now.
1340:
- RN administered 60 units of regular insulin subcut.
1410:
- Client unresponsive. Blood glucose 30 mg/dL (74 to 106 mg/dL) on venous specimen.
0100:
- Laboratory technician called the unit to report critically low platelet value. Client's primary nurse unavailable at time of call. Report received by another staff nurse. Critical results not communicated to client's primary nurse or provider.
0400:
- Client in coma due to complications of disseminated intravascular coagulation.
0900:
- Client identified as fall risk. Client instructed to call for assistance when getting out of bed. Call bell placed at bedside.
1000:
- Client found on floor during hourly rounds. Client sustained mild abrasion to elbow due to fall, no further injuries. Client stated, "I used my call bell, but nobody came." Identified that call bell malfunctioned.
A nurse manager is reviewing a group of incident reports as part of a quality improvement initiative.
For each incident report, click to specify if the findings in the incident report indicate a near miss or an adverse event. There must be at least 1 selection in every row. There does not need to be a selection in every column.
Explanation
Rationale:
• Incident Report 1 (Near Miss): The nurse identified the client's allergy before administering azithromycin. The medication was withheld, preventing harm to the client.
• Incident Report 2 (Adverse Event): Failure to administer prescribed intrapartum antibiotics resulted in neonatal sepsis, causing actual harm to the newborn.
• Incident Report 3 (Adverse Event): Administration of 60 units instead of 6 units of insulin caused severe hypoglycemia and unresponsiveness, resulting in client harm.
• Incident Report 4 (Adverse Event): Critical laboratory results were not communicated, delaying treatment and leading to disseminated intravascular coagulation complications and coma.
• Incident Report 5 (Adverse Event): A malfunctioning call bell prevented the client from obtaining assistance, resulting in a fall and physical injury (abrasion), making this an adverse event.
0800:
Client admitted to medical-surgical unit. Client provided admission paperwork. Identified that client does not have advance directives established. Client provided written information on advance directives to review.
1000:
Client requested to speak with nurse manager for further clarification about advance directives. Nurse manager at bedside. Teaching reinforced with client.
A nurse manager is participating in the care of a client.
Which of the following client statements indicate an understanding of the teaching? Select all that apply.
A nurse manager is teaching a group of staff members about proper body mechanics. Which of the following statements by a staff member indicates an understanding of the teaching?
A nurse working in a mobile health clinic is assessing a client who is an agricultural worker. Which of the following findings should the nurse identify as the priority?
A community health nurse is instructing a group of newly licensed nurses about diseases that require airborne precautions. Which of the following diseases should the nurse include?
A nurse manager is planning to conduct a follow-up performance appraisal with a nurse who has had reports of unsafe practice due to not completing client care tasks. Which of the following actions should the nurse manager take?
A nurse is planning a staff education program to review nursing interventions for clients who have kidney failure. Which of the following sources should the nurse identify as the best resource for obtaining evidence-based information?
A nurse manager is asked to select clients for early discharge from the unit following a mass casualty event. Which of the following clients should the nurse manager recommend?
A nurse is planning an in-service for community members living in an area with a high poverty rate. Which of the following information about health risks should the nurse include in the teaching?
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