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After reviewing the chart the nurse notes that the client is…

After reviewing the chart the nurse notes that the client is due for a medication that is not ordered. The nurse contacts the provider and is given the following verbal order:   “Give potassium STAT”.    What is missing from this order? Select all that apply.

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In the obstetric unit, a laboring patient develops late feta…

In the obstetric unit, a laboring patient develops late fetal heart rate decelerations. After treatment, the charge nurse finds documented interpretations but no fetal monitoring tracings. Unit policy requires a tracing and interpretation every 15 minutes.

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 A registered nurse calls for help with a transfusion reacti…

 A registered nurse calls for help with a transfusion reaction and an Unlicensed Assistive Personnel comes to help. What can be delegated to the UAP?

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A nurse enters the hospital room of a client with end-stage…

A nurse enters the hospital room of a client with end-stage cancer who has a valid Do Not Resuscitate (DNR) order. The client has gone into cardiac arrest, and a healthcare provider—who is a long-time friend of the client—is performing CPR. Which action by the nurse is most appropriate?

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The charge nurse delegates obtaining vital signs for four st…

The charge nurse delegates obtaining vital signs for four stable postoperative clients to a UAP. Which statement reflects the nurse’s appropriate responsibility? The

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The nurse is caring for a client that is dying and his spous…

The nurse is caring for a client that is dying and his spouse becomes agitated and chokes the nurse. What can the nurse do?

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A client recovering from hip replacement expresses concern a…

A client recovering from hip replacement expresses concern about accessing transportation for follow-up therapy. Which action by the nurse is appropriate?

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During a telehealth visit, a client with a history of myocar…

During a telehealth visit, a client with a history of myocardial infarctions, reports chest discomfort. Which is the nurse’s priority action?

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A new graduate nurse reports being ignored and excluded by e…

A new graduate nurse reports being ignored and excluded by experienced coworkers. What is the charge nurse’s best response?

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A nurse notices that the clinical decision support system in…

A nurse notices that the clinical decision support system in the EHR recommends a medication that conflicts with the physician’s orders. What should the nurse do next?

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