RN Leadership Practice 2019 (60 Questions) with all correct Answers |Guarantee A+ score

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RN Leadership Practice 2019 (60 Questions) with all correct Answers |Guarantee A+ score A nurse is caring for a client who is recovering from a stroke. The provider recommends an extracranial-intra... cranial bypass, but the client tells the nurse that he will not have the surgery. Which of the following actions should the nurse take? (A) Inform the client of the consequences of decreased cerebral circulation. (B) Initiate a mental health consultation to determine why the client refuses the surgery. (C) Discuss the client's concerns about having the surgery. (D) Provide the client with information on additional treatment options. {{Correct Ans- Discuss the client's concerns about having the surgery. (The nurse should ask the client relevant questions to determine their concerns regarding having the surgery. By asking relevant, open-ended questions, the nurse can help the client clarify their thoughts and feelings about the surgery. The nurse can then relay these concerns to the provider for further discussion if needed.) A nurse on a quality improvement team is implementing a plan to decrease the rate of pressure injuries in a long-term care facility. Which of the following actions should the team take to evaluate the effectiveness of the plan? (A) Compare data from clients' records regarding skin integrity with established criteria. (B) Measure staff attendance at an educational program on managing pressure injuries. (C) Interview clients regarding their satisfaction with their care. (D) Monitor use of supplies used to prevent pressure injuries. {{Correct Ans- Compare data from clients' records regarding skin integrity with established criteria. (Chart audits are an efficient and accurate way to measure if a change in a performance improvement indicator has occurred after an intervention is implemented.) A nurse asks newly hired assistive personnel (AP) to remove a client's indwelling urinary catheter. Which of the following actions should the nurse take to ensure the AP is qualified to perform this task? (A) Show the AP how to remove an indwelling urinary catheter. (B) Review the AP's skill competency checklist. (C) Ask the AP if they know how to remove an indwelling urinary catheter. (D) Pair the newly hired AP with an experienced AP. {{Correct Ans- Review the AP's skill competency checklist. (A review of the AP's checklist should validate that they have demonstrated the ability to safely perform the procedure.) A nurse is caring for four clients. Which of the following assessment findings is the priority? (A) A client who has facial drooping following a stroke 8 hr ago (B) A client who has a femur fracture and reports feeling short of breath (C) A client who had an appendectomy 12 hr ago and reports pain as 5 on a scale of 0 to 10 (D) A client who had an open cholecystectomy 4 days ago and has serosanguineous drainage on the wound dressing {{Correct Ans- A client who has a femur fracture and reports feeling short of breath (When using the urgent vs. nonurgent approach to client care, the nurse determines that the priority finding is a client who has a femur fracture and reports feeling short of breath. Clients who have a fracture can develop a deep-vein thrombosis, which can lead to pulmonary embolism.) [Show More]

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