RN Leadership Online Practice A A nurse is caring for a client who is comatose. The client has a living will that declines the use of artificial enteral nutrition as a life-sustaining measure, but the client's family has requested that the staff begin tube feedings. Which of the following actions should the nurse take? - ANSWER Review the client's request with the family.Rational: The client's living will states that artificial enteral feedings should not be allowed, and the nurse should review the client's request with the family. Staff members should use the client's living will as the guide for treatment unless a durable power of attorney for health care has been created.A nurse is developing a plan of care for a school-age child whose family is homeless. Which of the following findings should the nurse identify as the priority? - ANSWER The child has red fissures at the corners of the mouth.Rational: Using Maslow's hierarchy of needs, the nurse should determine that the priority finding is red fissures at the corners of the child's mouth. This can indicate a vitamin B deficiency, which is a physiological need.A nurse manager needs to address an increased rate of client medication errors.Which of the following strategies represents an authoritarian approach to 1 / 3
managing this issue? - ANSWER Inform the staff of the penalties that can result from medication errors.Rational: The nurse manager is using penalties to promote behavior change; this is characteristic of authoritarian leadership.A charge nurse is leading a committee that is revising the policy for client discharge. After developing the initial plan, which of the following actions should the nurse take next? - ANSWER Determine goals and objectives.
Rational: According to evidence-based practice, the nurse attempting to make a
change or revision to a policy should first develop the initial plan and then determine goals and objectives. Objectives define strategies or implementation steps to attain the identified goals.A nurse is caring for a client who is terminally ill and receiving nutritional support.The client's adult children disagree about continuing nutritional support. The dilemma is referred to the ethics committee. Which of the following actions should the nurse expect the committee to take? - ANSWER Assist in weighing the options involved in the decision.Rational: Ethics committees are members of the interprofessional team who assist with problem solving related to ethical dilemmas. The ethics committee examines all of the facts and provides support for the clients and caregivers. 2 / 3
A nurse receives notification of a fire on the unit. Which of the following actions should the nurse take first? - ANSWER Assist clients who are in immediate danger to a safe location.Rational: The greatest risk to clients is injury from the fire. Therefore, the first action the nurse should take is to move clients who are in immediate danger to a safe location.A nurse is caring for a client who reports vomiting and diarrhea for the past 6 hr.The nurse should identify that which of the following assessments is the priority? - ANSWER Obtain the client's serum potassium level.
Rational: Because vomiting and diarrhea contribute to the loss of potassium
through body fluids, the greatest risk to this client is life-threatening cardiac dysrhythmias as a result of hypokalemia; therefore, the nurse should identify that the priority assessment is the client's serum potassium level.A nurse is conducting an orientation class for new clients and their families at a long-term care facility. Which of the following client rights should the nurse address at the orientation? (Select all that apply.) - ANSWER The right to be treated with respect and dignity The right to refuse their medications The right to leave regardless of provider recommendations The right to be fully informed of their health conditions
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