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Various nursing interventions and standards of care that a registered nurse (rn) would review and discuss with a nursing student or new licensed practical nurse (lpn). It includes topics such as revising a plan of care, performing procedures like blood draws and suctioning, floating to other units, and understanding the purpose of standards of care. Insights into the responsibilities of an rn in supervising and educating nursing students and new nurses to ensure patient safety and adherence to policies and procedures. It highlights the importance of proper documentation, communication, and decision-making in nursing practice.
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A registered nurse reviews a plan of care developed by a nursing student for a client with depression and notes a nursing diagnosis of impaired nutrition: less than body requirements. The registered nurse asks the student to revise the plan if which incorrect intervention is documented? a) offer small, high-calorie, high protein snacks frequently throughout the day and evening b) offer high protein, high-calorie fluids frequently throughout the day and evening c) remain with the client during meals d) complete the food menu for the client during the depressed period - D
A registered nurse is discussing the characteristics of anorexia nervosa with a nursing student. The registered nurse determines that the nursing student needs to further research this disorder if the student states that which of the following is a characteristic of anorexia nervosa? a) personal relationships tend to become more superficial and distant b) social contacts are avoided because of the fear of being invited to eat and being discovered c) the client is being preoccupied with food and meal planning, especially for others d) the client will usually keep her weight near normal - D
members express concern that more information is needed to determine appropriate measures for the target teenagers. The nurse would direct the group effectively by suggesting which of the following? a) preparing a survey that can be distributed to community members to determine their understanding of the drug abuse problem b) initiating a drug abuse program in all of the schools c) seeking out the teenage drug abusers and referring them to drug abuse centers d) preparing posters that can be distributed to the schools - A
A nurse is performing an admission assessment on a client admitted to the hospital with a diagnosis of fever of unknown origin. The nurse performs interventions based on the nurse practice act when the nurse: a) enters the information on the client's record b) writes the information on a worksheet c) informs the supervisor of the client's vital signs d) tells another nurse that the client has a high fever - A
c) encourage the staff nurse to discuss the comments d) persuade the staff nurse to stop being so critical - C
d) include providing care based on specialty guidelines for the client's condition - C
A registered nurse (RN) is observing a new licensed practical nurse (LPN) administer a deep intramuscular injection in the dorsogluteal site of a client. The RN determines that the LPN is performing the procedure correctly if the LPN: a) administers the injection 2 inches below the acromial process b) administers the injection in the thigh c) positions the client in a prone toe-in position d) positions the client in a Sims' position - C