Basic Skills Exam 3 1. A nurse is working with an assistant in an acute care unit. What can the nurse delegate?

The preparation of the clients room. 2. When a client is being discharged what can be delegated? The gathering of the clients personal things 3. During admitting a client that speaks a foreign language, the nurse? Requests for an interpreter and waits 4. The nurse recognizes a patient is at risk for falls due to the history use of. Sedative/ Analgesic use 5. The patient appears tense and upset during the admission, the nurse should? Provide time for client to ask questions 6. An unconscious client is being admitted thru the emergency, how do you I.D. the patient? Postpone until family member arrives 7. The nurse is aware the patient is at risk at discharge due to? The patients difficulty to self-care 8. During a transfer the client falls, the nurse should? Stabilize the patient first 9. When admitting the patient the nurse assesses first? The general appearance and response 10. When does the plan for discharge begin? At admission 11. 4:30 = 1630 12. How would you describe the best entry? Wound 3 cm in diameter, No drainage noted. 13. What should the nurse do when a mistake is made in the medical record? Draw a line, correct information above, initial 14. When there is a space left the nurse should? Draw a line across and initial 15. The nurse finds a patient alone and crying, the correct documentation is? Client sits alone, crying in room, states she feels bad when asked.