The team leader makes very brief rounds to see each client before receiving the shift report to ensure client safety and to help determine acuity and assignments. Which actions will these brief assessments entail? (Select all that apply.)

Correct Answer: A

Rationale: The correct answer is A because asking the client how they are feeling can provide valuable information about their current condition. It allows the team leader to assess the client's subjective well-being, any immediate concerns, and potential changes in health status. Noting mental status (choice B) and measuring vital signs (choice C) are not typically part of a brief assessment before shift report. Palpating chest and abdominal areas for pain (choice D) would require more thorough assessment and is not necessary during brief rounds.

Correct Answer: C

Rationale: The correct answer is C: Bag-valve mask with extension tubing. This is the most important equipment to show to the student because it is essential for providing immediate ventilation support in case of respiratory distress for a patient with a tracheostomy or partial laryngectomy. The bag-valve mask allows for manual ventilation by delivering oxygen to the patient's lungs, and the extension tubing ensures easy access to the patient's airway. A: An adult-sized endotracheal tube is not the most important equipment in this scenario as the patient already has a tracheostomy in place. B: A laryngeal scope with blades of several sizes is used for visualizing the larynx and not essential for immediate respiratory support. D: A tracheostomy insertion tray is used for performing tracheostomy procedures and not required for routine emergency respiratory support. In summary, the bag-valve mask with extension tubing is the most critical equipment for immediate ventilation support

Correct Answer: C

Rationale: The correct answer is C: 3 days. After BCG treatment for bladder cancer, it is crucial for the healthcare provider (HCP) to be notified if a normal voiding pattern does not resume within 3 days. This timeframe allows for monitoring any potential complications or urinary retention post-catheter removal. Option A (6 hours) is too short for significant changes to occur, option B (12 hours) is also too soon to assess the situation comprehensively, and option D (1 week) is too long to wait for potential issues to be addressed promptly. Therefore, option C is the most appropriate time frame for early intervention if the patient experiences any urinary difficulties post-catheter removal.

Correct Answer: B

Rationale: Correct Answer: B - "You'll be okay for right now, and I will come back and check on you later." Rationale: 1. Acknowledges the patient's needs without dismissing them. 2. Sets boundaries by indicating that the nurse will return later. 3. Shows concern for the patient's well-being. 4. Maintains professionalism while addressing the patient's behavior. Summary: A: Does not set boundaries, may encourage the patient to continue seeking attention. C: Does not address the immediate need for the patient's care and may prolong the conversation. D: Passing off responsibility to volunteers may not address the underlying issue of the patient seeking excessive attention.

Correct Answer: C

Rationale: The correct answer is C: Rectal. Administering pain medication rectally may not be suitable for Mr. U with lung cancer and pulmonary resection due to potential issues with absorption and unpredictable drug effects. The lung cancer and pulmonary resection could affect blood flow and absorption through the rectal mucosa. Oral route may be compromised due to nausea or vomiting. IV route provides rapid onset and precise dosing. Intramuscular route may be used but could have slower onset compared to IV. Overall, rectal route is most likely to be questioned due to uncertainties in drug absorption and effectiveness in this specific patient population.