1. A nurse in the emergency department is performing triage for a group of

clients followinga motor crash. Which of the following should the nurse

request the provider assess first?

• A client who has arm contusions and manifests

asymmetrical thoracicmovement.

2. A nurse is caring for a client who has acute diverticulitis for surgery

with the next 2 hr. The client tells the nurse that she has called a

taxicab and is leaving the hospital. Afternotifying the surgeon, which

of the following actions should the nurse take next.

• Inform the client about the risk she may encounter by leaving

the facility

3. A nurse case manager is planning a teaching session on the use of

critical pathways witha group of newly license nurses. Which of the

following information should the nurse include in the teaching

• Critical pathways prevent unnecessary expenses.

4. A nurse is caring for a client who has an informed consent form for

an upcoming procedure in his health record. Which of the following

actions should the nurse tale tovalidate that the client understands

the procedure.

• Ask the client to verbalize the purpose, risks, and benefits of

the procedure.

5. A nurse at an urgent care clinic notices that a pain assessment is not

being performed forall clients as required by policy. Which of the

following actions should the nurse take to ensure care is provided

according to policy.

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