A nurse is accessing computerized data about a client recently transferred to a step-down unit. Which of the following forms should provide the nurse with the most comprehensive client information?

Client care Kardex

Standardized care plan

I&O record

Medication administration record

Answer and Explanation

The Correct Answer is A

A.   Client care Kardex: The Kardex provides a concise, comprehensive overview of the client's care needs, treatments, and status.
B.   Standardized care plan: These are generalized and do not provide client-specific information.
C.   I&O record: This record focuses solely on fluid intake and output and lacks comprehensive client details.
D.   Medication administration record: This record provides details about medications but does not offer a complete picture of the client's care.

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Correct Answer is A

Explanation

A. Inform the charge nurse. The charge nurse should be notified when consent cannot be obtained so appropriate steps can be taken, such as rescheduling or involving the healthcare provider.
B. Send the client for the test with the unsigned form. Consent must be obtained before any invasive procedure. Proceeding without consent can result in legal and ethical consequences.
C. Obtain consent from a family member. A family member cannot give consent unless they hold legal power of attorney for healthcare decisions.
D. Wake the client and ask them to sign the form. Consent obtained under the influence of sedatives is not legally valid as it compromises the client's decision-making capacity.

A. Asking a staff member from another unit to complete the evaluation B. Linking the evaluation to predetermined standards C. Focusing primarily on areas that need improvement D. Discussing the evaluation with the nurse manager

Correct Answer is B

Explanation

A. Asking a staff member from another unit to complete the evaluation: Staff from other units may not have direct knowledge of the nurse's work performance.
B. Linking the evaluation to predetermined standards: Using predetermined standards ensures objectivity and consistency in evaluations.
C. Focusing primarily on areas that need improvement: Evaluations should be balanced, recognizing both strengths and areas for improvement.
D. Discussing the evaluation with the nurse manager: The evaluation should first be completed independently before discussing it with a manager if needed.

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A nurse is accessing computerized data about a client recently transferred to a step-down unit. Which of the following forms should provide the nurse with the most comprehensive client information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for an invasive procedure that requires consent. When the nurse arrives at the bedside to obtain the client's signature they find that the client is asleep after receiving a sedative. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is completing a peer evaluation. Which of the following actions will ensure the peer evaluation is impartial?

Correct Answer is B

Explanation

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