The charge nurse finished assessing the clients. In making assignments, which would be a priority?
a. Assign a nursing assistant to stay with a preoperative surgical client who was crying
b. Assign a licensed practical nurse/vocational nurse (LPN/VN) to start an intravenous line in a client who was bleeding rectally
c. Assign an LPN/VN to perform an initial assessment of a newly admitted client
d. Assign a nursing assistant to remove stitches from a postoperative client who is preparing to be discharged
ANS: B
A registered nurse can delegate initiating and maintaining intravenous lines to LPNs/VNs.
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The nurse is assessing a multiple trauma patient who is currently comatose. Which Glasgow Coma Scale score would be consistent with this patient's current state?
1. 9 2. 11 3. 15 4. 7
The patient is receiving Phenobarbital (Luminal) for control of seizures. The patient tells the nurse she plans to become pregnant. What is the best response of the nurse?
1. "Your medication dose will need to be decreased during your pregnancy." 2. "Please talk to your doctor; this drug is contraindicated in pregnancy." 3. "Your medication dose will need to be increased during your pregnancy." 4. "Please talk to your doctor; you will need a safer drug like valproic acid (Depakene)."
A client's fundal height is slightly above the symphysis pubis. Based on this data, how many weeks gestation is the client?
A. 38 weeks. B. 20-22 weeks. C. 10-12 weeks. D. 16 weeks.
The nurse is conducting a review of the literature for pain management techniques. Which of the following would the nurse consider when conducting research that yields solid EBP? (Select all that apply.)
a. Search the literature to uncover evidence to answer the question. b. Evaluate the outcome. c. Use the nursing process to evaluate evidence. d. Evaluate the evidence found. e. Develop an answerable question. f. Develop a question that has not been answered. g. Apply the evidence to the practice situation.