Management Coordinated Care Post Test

The nurse needs to evaluate that tasks delegated by the licensed practical nurse (LPN) were completed effectively. Which action by the nurse is most appropriate?

• Verify the provider's prescriptions for each task.

• Ask the LPN for feedback about the tasks.

• Observe the completion of all delegated tasks.

• Complete a comprehensive assessment.

The nurse is preparing an admission assessment for a client diagnosed with rubeola. Which action should the nurse take initially?

• Initiate oxygen therapy.

• Request a private room with negative airflow pressure.

• Notify staff of need for personal respiratory protection mask.

• Assess need for suction equipment.

The nurse is reviewing the plan of care for a client with dehydration and has a serum calcium level of 7.2mg/dL. Which intervention is the priority for the nurse to implement?

A nurse is performing an admission history on a client. When asked about medical history, the client tells the nurse, 'I should not have to discuss my past illnesses with anyone.' How does the nurse best respond to the client’s statement?

• It is important to know your medical history so we can make better decisions about your care.

• It’s important to know your medical history so we can make better decisions about your care.

• Why don’t you want to share information about your medical history?

• Would you feel more comfortable sharing your medical history at a later time?

• We cannot treat you if we don’t know your past medical history.

The nurse is assessing a group of clients. Which client problem should be reported to the respiratory therapist?

The nurse is caring for a client in respiratory distress who has been receiving 100% oxygen via nonrebreather mask and now appears fatigued. The client's most recent arterial blood gas is pH 7.29 pCO2 55, pO2 59, HCO3 18. The nurse will plan to do which of the following interventions first?

• Obtain a serum lactate level.

• Reassure the client.

• Prepare for imminent intubation.

• Request a prescription for IV sodium bicarbonate.

The client asks the nurse, "What is wrong with that person who is always screaming out?" What is an appropriate action by the nurse to address the client's concern?

• Ask if the client knows the other client before providing information.

• Tell the client about the condition in layperson's terms.

The nurse in the labor and delivery unit is giving a report to the nurse in the postpartum unit. Which is the most effective way for the nurse to ensure essential information about the client is reported?

• Give written report to the nurse.

• Written report to the nurse.

• Audiotape the report for future reference and documentation.

• Use a printed checklist with information individualized for the client.

The nurse has received morning change of shift report about four assigned clients. Which of client should the nurse assess first?

• A 23-year-old client with a migraine headache and reports severe nausea.

• A 45-year-old client scheduled for heart catheterization in 30 minutes and needs preoperative teaching.

• A 63-year-old with multiple myeloma who has an oral temperature of 101.8°F (38.8°C) and reports flank pain.

A 59-year-old with heart failure who requires assistance to the bathroom.

• A 63-year-old with multiple myeloma who has an oral temperature of 101.8 F (38.8 C) and reports flank pain

• A 59-year-old with heart failure who requires assistance to the bathroom