A client who is febrile is admitted to the hospital for treatment of pneumonia. In

accordance with the care primary , antibiotic therapy is prescribed. Which of the

following situations requires the nurse to complete a variance report with the

regard to the care pathway?

(ANS- Antibiotic therapy was initiated 2 hr after implementation of the care

pathway

A nurse is caring for a client who has cancer. The client and her partner are asking

the nurse about hospice care. Which of the following statements by the nurse is

appropriate ?

(ANS- Hospice care is a multidisciplinary program for clients who are terminally

ill

A nurse manager discovers there is a conflict between nurses working the day shift

and nurses working the night shift. Which of the following actions should the

manager take first?

(ANS- Gather information regarding the situation

A nurse working in the emergency department is assessing several clients. Which

of the following clients is the highest priority?

(ANS- A client who reports shortness of breath and left neck and shoulder pain

A nurse is providing a change of shift report for an oncoming nurse. Which of the

following information should the nurse include in the report?

(ANS- The client is in radiology department for chest X ray

A nurse is planning discharge for a client who had a lung resection. The nurse

initiates a referral for a social worker. Which of the following assessment data

supports this referral?

(ANS- The client needs to arrange financial resources to purchase equipment