100%(8)8 out of 8 people found this document helpful
This preview shows page 91 - 94 out of 109 pages.
medical care unit, which would constitute client abandonment. Additionally, this action does not address the conflict directly. Telling the nurse manager to call the nursing supervisor is an aggressive action that does not address the conflict directly.Test-Taking Strategy: Focus on the subject, dealing with conflict. Refusing to perform the assignment is unethical and could be grounds for dismissal. Leaving the nursing unitconstitutes client abandonment and could also result in dismissal. From the remaining options, select the option in which the conflict is dealt with directly. Review the appropriate methods of dealing with a conflict if you had difficulty with this question.References: Cherry, B., & Jacob, S. (2008). Contemporary nursing issues: Trends & management (4th ed., pp. 163, 164). St. Louis: Mosby.Marriner-Tomey, A. (2009). Guide to nursing management and leadership (8th ed., pp. 153, 154). St. Louis: Mosby.Cognitive Ability: ApplyingClient Needs: Safe and Effective Care EnvironmentIntegrated Process: Nursing Process/ImplementationContent Area: Leadership/ManagementQuestion 81
1 / 1 ptsA client with a left arm fracture complains of severe diffuse pain that is unrelieved by pain medication. On further assessment, the nurse notes that the client experiences increased pain during passive motion, compared with active motion, of the left arm. On the basis of these assessment findings, which action should the nurse take first?Encouraging the client to continue active range of motion exercises of the left armContacting the physicianChecking to see whether it is time for more pain medicationReassessing the client in 30 minutesRationale: The client with early acute compartment syndrome typically complains of severe diffuse pain that is unrelieved by pain medication. The affected client also complains that pain during passive motion is greater than that during active motion. Thenurse must notify the physician immediately. The other options are incorrect because they delay necessary interventions.Test-Taking Strategy: Focus on the assessment data presented in the question. Recall that these signs indicate early acute compartment syndrome. Remember, if this is suspected, the physician needs to be notified. Also note that the incorrect options are comparable or alike in that they delay necessary intervention. Review the complications associated with a fracture of an extremity and the associated priority nursing interventions if you had difficulty with this question.Reference: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing:Patient–centered collaborative care (6th ed., p. 1181). St. Louis: Saunders.Cognitive Ability: ApplyingClient Needs: Safe and Effective Care EnvironmentIntegrated Process: Nursing Process/Implementation
Content Area: Delegating/PrioritizingQuestion 821 / 1 ptsA client with terminal cancer is receiving a continuous intravenous infusion of morphine sulfate. On assessment of the client, what does the nurse check first?Urine output