A nurse is caring for a client who is recovering from a stroke. The provider recommends an extracranial-intracranial bypass, but the client tells the nurse that he will not have the surgery. Which of the following actions should the nurse take? -Inform the client of the consequences of decreased cerebral circulation -Initiate a mental health consultation to determine why the client refuses the surgery -Discuss the client's concerns about having the surgery -Provide the client with information on additional treatment options ✔✔Discuss the client's concerns about having the surgery A nurse on a quality improvement team is implementing a plan to decrease the rate of pressure injuries in a LTC facility. Which of the following actions should the team take to evaluate the effectiveness of the plan? -Compare data from clients' records regarding skin integrity with established criteria -Measure staff attendance at an educational program on managing pressure injuries -Interview clients regarding their satisfaction with their care -Monitor use of supplies used to prevent pressure injuries ✔✔Compare data from clients' regarding skin integrity with established criteria A nurse asks a newly hired assistive personnel to remove a client's indwelling catheter. Which of the following actions should the nurse take to ensure they are qualified to perform this task? -Show them how to remove an indwelling catheter -Review their skill competency checklist -Ask them if they know how to remove an indwelling catheter -Pair the newly hired AP with an experienced AP ✔✔Review their skill competency checklist A nurse is caring for 4 clients. Which of the following assessment findings is the priority? -A client who has facial drooping following a stroke 8hrs ago -A client who has a femur fracture and reports feeling short of breath -A client who had an appendectomy 12hr ago and reports pain as 5 -A client who had an open cholecystectomy 4 days ago and has serosanguineous drainage on the wound dressing ✔✔A client who has a femur fracture and reports feeling short of breath A home health nurse is planning her daily visits and receives labs for 4 clients. The nurse should first visit the client who has which of the following labs? -Digoxin 1.0 ng/mL -WBC 6,000 -Platelets 100,000 -Serum potassium 4.0 ✔✔Platelets 100,000 (answered wrong, put dig)
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