A.A client’s advance directives are not in the med recordB.A nurse administers a routine medication 30 min after the scheduled time when the client returns from C.A client’s IV solution infused over 6 hr instead of the prescribed 8 hrD.A nurse documents a client’s vital signs on the graphic record at the end of the shiftphysical therapy49. A nurse manager is coordinating staff assignments for RNs and LPNs following a local disaster. Which of the following is an appropriate assignment by the nurse manager to provide safe and effective client care? ***
50. An RN delegates the task of obtaining the BP of a client who is 2hr postop following a cholecystectomy to an LPN. The LPN reports a BP that is significantly higher than the client’s previous reading. Which of the following actions should the RN take first?51. A charge nurse is performing chart reviews on infection control precautions implemented by nursing personnel during the admission of clients to the unit. Which of the following is an appropriate infection control precaution?52. A staff nurse at a long-term care facility is evaluating an AP caring for a group of clients who require restraints. Which of the following is an appropriate action by the AP?A.Securing mitten restraints around the forearmB.Using a square knot when securing the restraint strapC.Applying the belt restraint beneath the client’s clothingD.Placing the restraint tie on a moveable part of the bed frame53. A nurse case manager is planning a teaching session on use of critical pathways with a group of newly licensed nurses. The nurse should include which of the following in the teaching about critical pathways?
54. A nurse is reviewing facility data on hand hygiene adherence and finds that nurses are not performing hand hygiene after client contact 28% of the time. Which of the following is the first action the nurse should take when developing a plan to increase employee hand hygiene adherence?
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- Fall '13
- Nursing, AP