Adult Nursing III - Adult Nursing III – EXAM 1 Chapter 7...

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Adult Nursing III – EXAM 1 Chapter 7: Delegation, Prioritization, and Decisions Making Study Guide 1. . A client who was involved in a motor vehicle accident is admitted through the emergency department. He has an IV of 0.9% NS @ 100 mL/hr, BP 92/58, and complains of weakness, fatigue, and abdominal pain. On assessment, the nurse discovers that Mr. Reynolds is nauseated and just vomited 560 milliliters of green emesis with flecks of “coffee grounds.” The nurse delegates client care activities to the nursing assistive personnel. Which activity should the nurse keep? A. Taking and recording vital signs every 15 minute B. Recording accurate intake and outpu C. Obtaining a baseline weight to guide therap D. Increasing the IV rate to 250 mL/hr if the blood pressure drops to 85/5 ANS: D 2. A client recovering from congestive heart failure (CHF)is being discharged this afternoon. The client needs teaching to be reinforced. Who should complete this task? 3. A nurse is caring for several clients. , Which client could be assigned to a UAP/NAP?A. A client with a recent head injury B. A client for the removal of an ovarian cyst post-laparoscopy C. A client with stable angina D. A client with a sepsis ANS: C
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