A nurse on a medical-surgical unit is planning care for assigned clients. Which of the following actions should the nurse plan to take to demonstrate effective time management?

Document assessment findings and interventions after providing care for a group of clients.

Delay cleaning personal work area until the end of the shift.

Gather supplies for a client's dressing change after removing the old dressing.

Complete activities for one client before moving to the next client.

Answer and Explanation

The Correct Answer is D

A.   It's better to document assessment findings and interventions soon after interventions to ensure accuracy and avoid forgetting details.
B.   Delaying cleaning personal work area until the end of the shift could lead to clutter and inefficiency throughout the shift.
C.   Gather supplies for a client's dressing change after removing the old dressing.

Supplies should be gathered beforehand to streamline the process and reduce the time the wound is exposed.
D. This approach helps maintain focus and efficiency, reducing the chance of errors and ensuring that care is fully and effectively provided to one client before moving to another.

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Correct Answer is B

Explanation

A. While tachycardia can occur in some cases of heart failure as a compensatory mechanism, it's not a universal manifestation.
B. In heart failure, weight gain is a common manifestation due to fluid retention caused by the heart's inability to pump blood effectively. This fluid buildup can lead to an increase in body weight, often evidenced by swelling in the legs, ankles, or abdomen.
C. Heart failure often leads to increased thirst due to fluid overload and decreased cardiac output, resulting in poor tissue perfusion.
D. A thready pulse may be present in heart failure due to decreased stroke volume, but it's not a primary manifestation typically associated with the condition.

A. Set up the sterile field 5 cm (2 in) below waist level. B. Place the sterile dressing within 1.25 cm (0.5 in) of the edge of the sterile field. C. Open the outermost flap of the sterile kit toward the body. D. Place the cap from the solution sterile side up on a clean surface.

Correct Answer is D

Explanation

A: The sterile field should be set up at or above waist level to prevent contamination from higher surfaces, not below.
B: The outer edge (about 2.5 cm or 1 inch) of the sterile field is considered non-sterile, so placing the sterile dressing close to the edge risks contamination.

C: The outermost flap of the sterile kit should be opened away from the body to avoid reaching over the sterile field, which could lead to contamination.
D: The cap should be placed sterile side up to maintain its sterility if it needs to be reapplied to the solution bottle.

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A nurse on a medical-surgical unit is planning care for assigned clients. Which of the following actions should the nurse plan to take to demonstrate effective time management?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has heart failure. Which of the following manifestations should the nurse expect?

Correct Answer is B

Explanation

A nurse is preparing to perform a sterile dressing change. Which of the following actions should the nurse take when setting up the sterile field?

Correct Answer is D

Explanation

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