DIRECTIONS: Circle the correct answers and state your rationales… DI

DIRECTIONS: Circle the correct answers and state your rationales… DIRECTIONS: Circle the correct answers and state your rationales for selecting that answer.You are the RN in charge and just received report on your patients. Before making out the assignment what is the first step you will take?(A) Set priorities and establish outcomes for your patients(B) Get coffee and breakfast so you have energy(C) Review all your patient charts(D) Divide the patients equally among your team of RN’s, LPN’s and NA’s. Rationale:   A registered nurse (RN) has delegated care of a new postoperative client to a licensed practical nurse (LPN). The LPN notifies the RN that the client’s blood pressure and respirations are elevated from the baseline readings and that the client is complaining of pain and dyspnea. The RN takes which action next?A) the RN need not to carry out further assessment because the LPN is very experienced and             trustworthy            B) the RN requests that the LPN offer the client a opioid analgesic, which has ordered             postoperatively            C) the RN places a call to the attending surgeon and reports that the client is having pain and             dyspneic            D) the RN assesses the client, checks the client’s surgical notes, and gathers addition data before  calling the surgeonRationale:   A nurse manager is planning the client assignments for the day. Which of the following clients would the nurse assign to the nursing assistant?A) a 2-day postoperative client who had a below-the-knee amputationB) a client on a 24-hour urine collection who is on strict bed rest            C) a client scheduled to be discharged after coronary artery bypass surgery            D) a client scheduled for a cardiac catheterizationRationale:     4 . A registered nurse (RN) is implementing a team nursing approach. The RN has a licensed practical nurse (LPN) and a nursing assistant on the team and is planning the client assignments for the day. The RN appropriately assigns which of the following clients to the LPN?A) a client who needs assistance with groomingB a client who needs frequent ambulationC) a client who needs to be suctioned as needed (PRN)D) a client who needs assistance with hygiene measuresRationale:  .A nurse is planning client assignments. Which of the following is the least appropriate assignment for the nursing assistant?A) assisting a profoundly developmentally disabled child to eat lunchB) obtaining frequent oral temperatures on a client            C) accompanying a 51-year old man, being discharged to home following a bowel resection            D) collecting a urine specimen from a 70-year old woman admitted 3 days agoRationale:   It is 7am and as the RN you have just received report. Your patient Ms. S. is 65 years of age and is a female patient who is S/P abdominal hysterectomy with history of Type 2 Diabetes who needs a blood transfusion. The blood bank called and stated that the first unit of packed red blood cells will be ready at 8 am. The patient has just called to the nursing station to report that she is nauseated and in severe pain. Report has not been completed. Which of the following team members should go to the patient?A) The LNA should go and take the patient’s vital signs.B) Ask the LPN from nights to check on the patient.C) The RN assigned as primary nurse should go to the patient.D) Answer the patient by intercom and tell her you will be there after report. Rationale:  Health Science Science Nursing BIOL 222 Share EmailCopy link Comments (0)

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