Question

1. Nurse is admitting a woman who has an arterial venous (AV) fistula in her right arm that is used for hemodialysis. She missed her last hemodialysis producing shortness of

breath and an irregular heartbeat. Which action should the nurse assigned to the UAP?

a. Updating body weight per bed scale

b. Measure vital signs (possible)

c. Check for fistula buit

d. Notified dialysis unit of admission

2. A nurse manager overhears an older female nurse complaining to a co-worker about the time

being used to attend an inservice…how should the nurse-manager responds?

a. Ask the older nurse that inservice is not optional and her scheduled

attendance is mandatory

b. Ask to send another nurse who is more receptive because the older nurse is

not interested

c. Ask the nurse to share her concerns and discuss ways to prepare for such

emergencies

d. Ask nurse why she thinks there is no need for an inservice program about

3.Which staff assignment, made by the primary nurse, requires the most immediate

follow up action by the charge nurse on___?..

a. An unlicensed assistive personnel assigned to check a client for fecal impaction.

b. Graduate nurse is assigned to obtain a unit of packed red blood cells from the blood

bank.

c. a practical nurse is assigned to transport a postop client to the rehab unit.

d. A practical nurse is assigned to monitor blood pressure of a client with hypertension.

4. A nurse who work in a long-term care facility wants to delegate the following  client care to UAP?

(Select all that apply)

a. Provide a complete bed bath for a comatose client

b. Perform foot care including toenail trimming and heel care

c. Identify location of skin lesions on a newly admitted client

d. Empty the ostomy bad for a client with an temporary canthotomy

e. Give mouth care to an elderly client who has a tracheostomy

Answer 1

1 Answer is D notified dialysis unit admission. Here the patient missed her dialysis and now have shortness of breath. So immediately dialyshould performed and need to inform to the unit.

Checking weight, vital signs and fistula bruit are essential but immediate action must be managing shortness of breath which occurred as a result of accumulated fluid in the lungs due to missed dialysis.

2 Answer is C. Here the nurse manager need to ask tje old nurse express her concerns and based on the concerns, she need to explain the measures how to overcome the her concerns. By only telling that the training is mandatory nurse might not attend it. She need to ne clearly understand the need of training. Sending another nurse is not acceptable. This is because the older women will not get the right training 3 is A. Because UAP is not practiced and dont have clear idea about fecal impaction so the manager need to supervise the UAp.

The remaining personnels are licenesed and have the riggt to it.