A nurse with three years of experience in medical-surgical n…

A nurse with three years of experience in medical-surgical nursing is creating a five-year professional development plan. The nurse’s state requires 30 contact hours of continuing education for license renewal every two years and the employing hospital mandates annual competency validation for high-risk procedures. Which approach best demonstrates a comprehensive plan for maintaining competence?

A nurse reviews the care plan for a 67-year-old client 2 day…

A nurse reviews the care plan for a 67-year-old client 2 days post-abdominal surgery: provider orders include “ambulate in hallway twice daily” and “incentive spirometry every 2 hours while awake.” The nurse notes decreased breath sounds in lung bases and initiates coughing and deep-breathing exercises without a specific order. Which statement best describes this nursing action?

A nurse manager on a medical unit wants to support staff inv…

A nurse manager on a medical unit wants to support staff involvement in decentralized decision-making. The manager observes that staff nurses rarely contribute ideas during unit meetings and defer most decisions to leadership. Which action by the manager best supports staff engagement in shared governance?

A nurse evaluates a 58-year-old client with chronic obstruct…

A nurse evaluates a 58-year-old client with chronic obstructive pulmonary disease after implementing breathing exercises and bronchodilator therapy: the expected outcome was “client will demonstrate improved gas exchange within 24 hours.” Which evaluative measure most accurately determines whether the outcome was achieved?

A nurse admits a 76-year-old client to the medical unit at 1…

A nurse admits a 76-year-old client to the medical unit at 1400: the client takes furosemide 40 mg daily at home, has a history of urinary urgency, and ambulates independently with a cane. The nurse notes the rubber tip on the cane is worn smooth. Which action best demonstrates anticipating and preventing complications?