RN Leadership Online Practice B Which of the following findings should the nurse identify require follow-up by the provider? Select 6 findings that require immediate follow-up?
HR Bowel sounds Urinary output BP Orientation status
O2 SAT
Pain lvl RR Dressing appearance - ANSWER HR BP
O2 SAT
Pain RR Dressing appearance 1 / 3
The nurse is reviewing the client's medical record. Which of the following findings should the nurse identify require immediate follow-up? Select 4 findings that require immediate follow-up
O2 SAT
Nausea Weakness BP RR Diaphoresis ECG results - ANSWER O2 SAT BP RR ECG results A charge nurse observes that a staff nurse's behavior has changed over the past few weeks. Which of the following behaviors should the charge nurse identify as an indication that the staff nurse might be working while impaired? - ANSWER Frequent use of the restroom A charge nurse is preparing to observe a newly licensed nurse to perform a routine abdominal assessment. Which of the following actions should the charge 2 / 3
nurse expect the newly licensed nurse to take? - ANSWER Place the client in a dorsal recumbent position for the examination A nurse walks into the nurse's station and sees several staff members looking at the electronic medical record for a celebrity client on another unit. Which of the following actions should the nurse take first? - ANSWER Remind the staff members that this a breach of confidentiality A facility has been notified of a train derailment resulting in multiple clients experiencing life-threatening injuries. The external disaster plan has been activated. Which of the following actions should a charge nurse on the PACU take?
- ANSWER Identify stable clients for transfer to a surgical unit
- / 3
An assistive personnel (AP) tells a charge nurse that it is unfair that they have to take care of all the clients who are incontinent. Which of the following responses should the charge nurse make? - ANSWER I delegate tasks to personnel based on their job descriptions