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? -Answer= 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 ? -Answer= 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? -Answer=
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? -Answer= 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? -Answer= 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? -Answer= The
client needs to arrange financial resources to purchase equipment
A nurse is caring for a client who requests information about the prevalence of Tay Sachs disease
Which of the following resources should the nurse use to obtain this information -Answer= An
evidence based nursing journal
A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following
statements by the newly licensed nurse indicates an understanding of the teaching? -Answer= I
should encrypt personal health information when sending emails
A nurse working on a quality improvement team is assessing an increase in client falls at the
facility. After problem identification, which of the following actions should the nurse plan to take
first as part of the quality improvement process? -Answer= Identify clients who are at risk for falls
A nurse manager is discussing critical pathway use during a staff meeting . Which of the following
information should the nurse manager include as an outcome of critical pathway use? -Answer=
Decreased care delays
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