in the hallway sharps container in a labeled or color-coded biohazard bag in the trash, but it must be double bagged in the trash can in the patient’s room
A 19-year-old female is admitted to the psychiatric floor after a suicide attempt 3 days ago. With client safety a priority, the nurse should
assign the patient to the room closest to the nursing station. assign the patient to an open room with a roommate. assign the patient to a secluded, isolated room. assign a staff member to stay with the client at all times.
A patient is rushed to the ER after overdosing on benzodiazepines. The nurse anticipates an order for
lorazepam (Ativan). flumazenil (Romazicon). naloxone (Narcan). alprazolam (Xanax).
A home health nurse visits a 48-year-old male client who has a fear of leaving his home because the space outside is too overwhelming. He has not gone anywhere in the past 2 months. The client has likely been diagnosed with
sociophobia. anthropophobia. xenophobia. agoraphobia.
A public health nurse is preparing an educational handout about rubella, commonly known as measles. All of the following statements should be included in the informational handout EXCEPT
“Rubella can be spread by coughing and sneezing.” “The incubation period for rubella is 3 – 7 days.” “Signs and symptoms include high fever, runny nose, and cough.” “Rubella can be spread by skin-to-skin contact.”
A client has been undergoing treatment for an aggressive cancer. The physicians have stated the chance of recovery is very unlikely. The client states that she prefers to cease all treatments and start palliative care. The nurse supports this decision based on which ethical principle?
fidelity confidentiality justice autonomy
A tornado touched down in a large community, and the hospital is anticipating many casualties will be sent to the facility within the next few hours. The nurse should first
activate the emergency disaster response plan. obtain any extra supplies from the supply closet. prepare a triage staging area. call in extra staff, even if they are not scheduled to work.
A nurse has delegated care of a client in wrist restraints to a nursing assistant. The nursing assistant should check the skin circulation under the restraints at least
every 15 minutes. every 30 minutes. every hour. every 2 hours.
A client pushes his call light and tells the nurse his chest is hurting. The nurse sees his oxygen saturation is 88%. The nurse’s first intervention is to
perform an ECG. administer oxygen. administer morphine IV. call the Rapid Response Team.