Nokea
A nurse manager is educating a group of nursing students about the Patient's Bill of Rights. The nurse knows that the student nurses have an understanding of the bill when one of the nurses makes which statement?
- A. Clients have the right to view their medical records but may not copy any of the information contained in the records.
- B. Clients wavenumber be declined care at an emergency department or need preauthorization for care if they do not have premium-level insurance.
- C. Clients have the right to a quick and objective review of any claim that they levy against a health care facility, physician, or health care plan.
- D. It is the admitting nurse's job to verify the client's past medical history, medications, and treatments, even if the client refuses to cooperate in giving the information.
Correct Answer: C
Rationale: Clients have the right to a fair review of complaints, as per the Patient's Bill of Rights. The other options contain inaccuracies.
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The nurse is caring for a client who is post-op day 1 for a coronary artery bypass graft (CABG). The nurse knows that continuity of care for this client is ensured by doing which of the following? Select all that apply.
- A. using standardized handoff reports
- B. knowing how to perform a chart check
- C. following up on outstanding lab reports and incomplete orders
- D. knowing the proper procedures to transfer clients to another floor
Correct Answer: A,B,C,D
Rationale: Standardized handoffs, chart checks, following up on labs/orders, and proper transfer procedures all ensure continuity of care.
A nurse is working with an unlicensed assistive personnel (UAP) to perform a bed bath on a client. The nurse notes the smell of alcohol on the UAP's breath. Which is the priority nursing action?
- A. Work closely with the UAP during the shift and observe for any signs of impairment.
- B. Complete the bed bath without comment. The unit is already short one staff member.
- C. Offer chewing gum to the UAP. Since she does not give medications, she can do her job as she does not appear impaired.
- D. Call for another nurse to complete the bath and immediately report the UAP to the charge nurse or unit manager.
Correct Answer: D
Rationale: The smell of alcohol suggests potential impairment, which poses a safety risk to clients. Reporting to the charge nurse ensures client safety and follows protocol. Options A, B, and C fail to address the potential risk adequately.
Nurses are expected to understand the principles of triage when caring for multiple clients. The ICU charge nurse is reviewing assignments. Based on the principles of triage, to which client would the charge nurse give priority for treatment? Select all that apply.
- A. a client on a ventilator who has an alarm sounding
- B. a client who has just returned from an open appendectomy
- C. a client ready to transfer to the floor after the nurse calls report
- D. a client who has been talking with family and is now unresponsive
- E. a client receiving a new antibiotic who complains of tingling in the mouth
Correct Answer: A,D,E
Rationale: A ventilator alarm, unresponsiveness, and tingling (possible anaphylaxis) indicate immediate threats to life, requiring priority in triage.
The school nurse is monitoring the diet of a child with cystic fibrosis. Which type of diet would the family be advised to follow?
- A. low calorie, high fiber
- B. low fiber, low fat
- C. low sodium, gluten free
- D. high fat, high calorie
Correct Answer: D
Rationale: High-fat, high-calorie diets support nutritional needs in cystic fibrosis due to malabsorption.
The nurse is responsible for his own actions while on duty caring for clients. What is the name of this ethical principle? Fill in the blank.
- A. Accountability
Correct Answer: A
Rationale: Accountability is the ethical principle where nurses are responsible for their own actions and decisions in client care.