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1
Q

A nurse is monitoring all of the patients in an outpatient procedure area for complications of IV fluid administration. What type of function is the nurse demonstrating?

A

A collaborative nursing function is demonstrated when the nurse monitors patients for complications of acute illness, administers IV fluids and medications per physician or nurse practitioner orders, and implements nursing interventions such as providing emotional support or teaching about specific procedures.

2
Q

A 40-year-old female patient is being prepared for discharge home after a laparoscopic cholecystectomy. Which team member can be assigned to complete a discharge assessment and provide patient teaching for post-discharge care?

A

Nursing interventions that require independent nursing knowledge, skill, or judgment such as assessment, patient teaching, and evaluation of care cannot be delegated. These interventions are the responsibility of the RN.

3
Q

The nurse establishes priorities and determines outcomes for an individual patient during the

A

During the planning phase of the nursing process, patient outcomes or goals are developed and nursing interventions are identified to accomplish the outcomes.

4
Q

When nurses disagree about the effectiveness of a commonly used nursing intervention, the best evidence for solving the question related to an intervention is

A

Systematic reviews of randomized controlled trials (RCTs) are considered the strongest level of evidence to answer questions about interventions (i.e., cause and effect).

5
Q

A registered nurse (RN) has delegated the administration of IV medications to a licensed practical/vocational nurse (LPN/LVN). Which statement accurately describes delegation?

A

Delegation entails a redistribution of nursing work, but the RN remains ultimately responsible and accountable for the execution of the task. It would be inappropriate to delegate if the LPN was unfamiliar with the task. The RN is not obliged to observe the LPN’s execution of the task.

6
Q

A 28-year-old female patient is in the contemplation stage of the behavior change model regarding her tobacco use. The nurse should

A

The nurse should reinforce the stated need for change in the contemplation stage.

7
Q

A 51-year-old male patient will need to change a dressing on an open leg wound after discharge. Which strategy should the nurse use to evaluate if the patient is able to perform the dressing change?

A

Return demonstration is the best method for psychomotor skill evaluation.

8
Q

The nurse notes that a male patient regularly asks about the purpose and potential side effects of each oral medication that he has received during his time in the hospital. How should the nurse best interpret the patient’s questions?

A

The patient most likely is revealing his learning needs related to his medication regimen.

9
Q

Mr. Sakda emigrated from Thailand. When taking care of him, you note that he looks relaxed and smiles but seldom looks at you directly. How do you respond?

A

Many cultures, especially the eastern cultures, view direct eye contact as rude. Deflecting your eyes downward indicates respect.