Management of a Medical Unit

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1. 1.Which client situation requires New onset ST segment 11. 11. It is best for the newly The RN who is
the most immediate intervention elevation is observed on licensed RN to collaborate with precepting the newly
by the charge nurse? the telemetry monitor of which team member to ensure licensed nurse.
a client admitted with that the dosage is adjusted
angina. correctly?
2. 2.What action should Mr. Young Request that another 12. 12. When changing client care An insulin/potassium
take? staff RN obtain the assignments, Mr. Young knows infusion to treat diabetic
report. that it is important to assign the ketoacidosis (DKA)
client on which
3. 3.How should the charge nurse Remain with he client
medication/solution to the care
respond to this situation? who has angina and
and expertise of another RN
assign a PN to monitor
rather than a PN?
the confused client while
the UAP obtains a bed 13. 13. Which one of the RN's cients A 56-year-old female
alarm. can best be assigned to the PN? client with anemia due
to long-term chronic
4. 4. Who should the charge nurse The newly licensed
renal failure who is
assign to care for this client? nurse and staff nurse
scheduled for a
preceptor.
hemodialysis treatment
5. 5. How should the charge nurse What concerns do you that afternoon.
respond? have about your
14. 14. How many mL should be 7.5 mL
pregnancy and this client
added to the 500 mL bag?
care situation?
15. 15. Which instruction should the Report any changes in
6. 6. When adhering to the ethic of Assign another PN to
nurse convey to the UAP? mental status, such as
caring in a leadership role while care for the client and
disorientation.
still maintaining client safety, reassign the pregnant PN
what is the best action for the to other clients. 16. 16. Which action should the nurse Assist the client in
charge nurse to implement? implement? returning to a supine
position in the bed.
7. 7. Which diagnosis and upcoming Osteoporosis scheduled
procedure can best be assigned for a bone mineral 17. 17. In reviewing the situation with Insufficient instruction
to this PN, rather than an RN? A density test that day. the UAP and RN assigned to the and supervision by the
client with: client, Mr. Young needs to RN.
emphasize which problem?
8. 8. Which task can be delegated -Deliver and prepare the
to the UAP who is assisting the meal tray of the client 18. 18. The client with which Sinus arrhythmia with
PN and RN in the care of these 4 who is in isolation with telemetry pattern is best to rate fluctuation during
clients? MRSA-induced consider for transfer? respiration.
SELECT ALL THAT APPLY pneumonia.
19. 19. After identifying the client Contact the healthcare
-Assist an elderly client
that is the safest to transfer from provider for a
who is 3 days post-op
the telemetry area, what action prescription to remove
with a bath and change
should Mr. Young take next? the telemetry and
of gown
transfer the client.
9. 9. Which action should the Increase the rate of
20. 20. It is most important for the Interpretation of the
respiratory therapist take? oxygen being
preceptor to supervise which cardiac rhythm.
administered.
nursing intervention performed
10. 10. Mr. Young consults with the Initiating a referral for by the newly licensed RN?
case manager about which durable medical
21. 21. What is the best response by Because observation of
aspect of the client's care? equipment and home
the preceptor? the procedure will help
health care.
you provide better care,
I will manage our
assigned clients while
you go.
22. 22. In planing a cient care assignment independent of the preceptor for the -Experiencing dysphagia following a CVA,
next day, which client is best to assign to the new RN? SELECT ALL THAT which necessitates the use of total parenteral
APPLY nutrition via a central line.
-2 DAY post op hip fracture
23. 23. To ensure that all the staff are competent in the use of the new equipment, Schedule time for each nurse on the unit to
which action is most important for Mr. Young to implement? practice using the insulin pens.
24. 24. How should Mr. Young respond? Offer to repeat a demonstration and allow the
PN additional practice time.
25. 25. Which action should MR. Young implement first? Go with the nurse to observe the difficulty the
clients are experiencing with the pens.
26. 26. In preparing a study of this problem, which goal statement is best for the All clients using insulin pens will measure an
team to identify? accurate dose 100% of the time.
27. 27. What additional information is most important for the quality improvement The inability of these clients to measure an
team presenting a recommendation to the administration about teaching accurate dose with a syringe.
clients how to use insulin pens?
28. 28. In preparing the recommendation, it is most valuable to obtain input from Unit pharmacist.
which member of the healthcare team?