Which action demonstrates that the nurse understands the purpose of the Rapid Response Team?

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Question 1 of 5

Which action demonstrates that the nurse understands the purpose of the Rapid Response Team?

Correct Answer: C

Rationale: The Rapid Response Team (RRT) intervenes rapidly for clients beginning to decline clinically, such as a significant drop in blood pressure (52 mm Hg), to prevent respiratory or cardiac arrest. Monitoring postoperative status (A), maintaining a flow sheet (B), and reporting restlessness (D) are important but not specific to the RRT's purpose.

Question 2 of 5

The physician prescribes warfarin (Coumadin) 15 mg daily. The nurse notes that this is three times the normal dose for this client based on the client's medication profile and laboratory work. What does the nurse do first?

Correct Answer: C

Rationale: Calling the physician first ensures safety by clarifying a potentially erroneous dose. Giving the dose (A) risks harm, consulting the pharmacy (B) delays direct resolution, and holding (D) without communication is unsafe.

Question 3 of 5

A client has metastatic lung cancer and is hospitalized for chemotherapy. Which intervention does the nurse delegate to the unlicensed assistive personnel? ((Select ONE that does not apply.)

Correct Answer: B

Rationale: UAP can assist with repositioning (A), take vital signs (C), and record intake/output (D). Teaching (B) and promoting grief expression (E) require nursing expertise and cannot be delegated.

Question 4 of 5

Which action by the nurse working with a client best demonstrates respect for autonomy?

Correct Answer: A

Rationale: Asking about questions before consent ensures informed decision-making, vital for autonomy. Giving information (B) supports veracity, keeping promises (C) upholds fidelity, and fair treatment (D) reflects justice, but none directly address autonomy as A does.

Question 5 of 5

A nurse is interested in making interdisciplinary work a high priority. Which actions by the nurse best demonstrate this skill? ((Select ONE that does not apply.)

Correct Answer: D

Rationale: Consulting (A), coordinating discharge (B), rounding (C), and asking about progress (D) all enhance interdisciplinary collaboration. Showing care plans (E) is less directly collaborative.

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