Evolve Case Study

[fmf13]

Hello,

I am new to the allnurses. I am having a really difficult time with this particular case study. If someone could point me in the right direction with these questions, I would be forever grateful. A little background, this assignment is 50 questions and I have done all the questions to the best of my ability. I have read and done as much research as I can on each question. They are the following questions and I have marked the answers I have chosen. Please provide a rationale, so I can understand the reasoning behind your answer. I always want to learn new perspectives and ideas.

A registered nurse (RN) in charge of a long-term care facility who is working with a nursing assistant on the night shift prepares to take a break. To ensure client safety during her break, which of the following actions should the nurse take? (Select all that apply)

A)Conducting client rounds before taking a break

B)Asking the nursing assistant to monitor a client's tube feeding and inform her when the bag was empty

C)Taking a break in the staff lounge located on the unit

D)Informing the nursing assistant that she is leaving the nursing unit to get a cup of coffee from the vending machine in the lobby

E)Asking the nursing assistant to contact the physician during the nurse's break if a client's pain medication is not effective

F)Asking the nursing assistant to administer a medication placed at the client's bedside if he awakens

A client with cancer is transported to the radiology department for a bone scan to determine whether the cancer has metastasized to bone. While the client is in the radiology department, the client's wife arrives for a visit and asks what test is being performed on the client. What should the nurse tell the wife?

A)She will have to discuss the prescribed treatment with the client

B)The radiology department is not sure clear as to what test is being performed

C)A bone scan is being performed

D)She can read the client's medical record to determine what the physician has prescribed

A registered nurse (RN) who has a licensed practical nurse (LPN) and a nursing assistant on the nursing team is planning client assignments for the day. Which of the following clients should the RN assign to the LPN?

A)A client who must be repositioned and turned every 2 hours

B)A client receiving oxygen who requires frequent pulse oximetry monitoring and respiratory treatments

C)A client with retinal detachment with an eye patch requiring assistance with hygiene

D)A client on bedrest that needs assistance with feeding

A registered nurse (RN) has received the assignment for the day shift. Once the RN has made initial rounds and checked on all of the assigned clients, which client will she plan to care for first?

A)A client who is able to perform ADLs independently

B)A client who is scheduled for surgery at 1 pm

C)A client scheduled for physical therapy at 11 pm

D)A client in skeletal traction who just received pain medication

A case manager is serving on a community task force on violence in schools. The members of the task force are planning to develop interventions to help prevent violence. According to the nursing process, the first activity the nurse would suggest to the task force would be:

A)Looking at what other communities are doing about school violence

B)Conducting a community survey to assess community perceptions regarding school violence

C)Teaching schoolchildren about the dangers of school violence

D)Distributing fliers that identify the causes of school violence to families in the community

A nurse is preparing client assignments for the day. Which client should the nurse assign to the nursing assistant?

A)A client who has just undergone a cardiac catherization

B)A client who is getting up to ambulate for the first time after surgery

C)An unconscious client who requires oral care

D)A client scheduled for liver biopsy

A nurse working the 7 am-to-3 pm shift is reviewing the records of her assigned clients. Which client should the nurse assess first?

A)A client scheduled for CT at noon

B)A client scheduled for nuclear scanning procedures at 10 am

C)A client scheduled for hydrotherapy for treatment of a burn therapy at 10:30 am

D)A client scheduled for hemodialysis at 10 am

A client with diabetes mellitus who takes a daily dose of NPH insuolin has a hard time drawing the insulin into a syringe because he has difficulty seeing the marking on the syringe. To which of the following services does the nurse suggest a referral?

A)PT

B)OT

C)Home Care

D)Social Services

A nurse on the day shift receives her client assignments for the day. Lis the clients in order of priority for assessment

1.A client with gastroenteritis and diarrhea

2.A client with suspected gallbladder disease who is scheduled for an ultrasound of the abdomen

3.A client with heart failure whose conditions has been stable since the administration of furosemide (Lasix)

4.A client with a herniated disc who is scheduled to be discharged today

This is the order I chose

A registered nurse (RN) is supervising a nursing assistant ambulating a client with a right-sided weakness. The RN would conclude that the nursing assistant is performing the procedure incorrectly after observing that the nursing assistant:

A)Positions the free hand on the client's shoulder

B)Stands on the right side of the client

C)Grasps the security belt in the midspine area of the small of the client's back

D)Stands behind the client