fall precautions droplet precautions airborne precautions standard precautions placement in a negative airflow room use of PPE, including an N95 mask or powered air purifying respirators (PAPRs)
The nurse is caring for a client with a retained placenta following a noneventful vaginal birth of a full-term infant. The nurse understands which of the following is true regarding a retained placenta?
Placental fragments may be detected on an MRI or CT scan. Nitroglycerin IV may be given to promote uterine relaxation. Removing the remaining fragments helps lower the risk of postpartum infection. If placental fragments remain, the uterus will feel firm due to retained fragments.
The nurse is providing instruction to a client’s family regarding home safety with thrombocytopenia. Which statement by the client’s family indicates a need for further education?
“He should use an electric razor for shaving instead of a razor.” “We will use soft-bristled toothbrushes or tooth sponges for oral care.” “He can no longer take aspirin or aspirin-containing products for a headache.” “We should put rugs down on the hardwood floors to prevent his feet from getting cold.”
The nurse is caring for a homeless client diagnosed with right-sided heart failure. The nurse anticipates that upon discharge the client will need assistance regarding medications, locating a shelter, and follow-up to ensure that the client can obtain transportation to the next appointment with the cardiologist. The nurse understands that this is an example of which content area of care management?
advocacy delegation ethical practice continuity of care advance directive
The nurse is admitting a client with acute liver failure. According to the Patient’s Bill of Rights, which responsibilities does the nurse understand to be the client’s duty? Select all that apply.
providing her own translator if she does not speak English screening and stabilization from emergency services as needed providing proof of insurance or ability to pay before care begins accepting responsibility for refusing treatments and medications that may alter health outcomes providing truthful and accurate information regarding medical history, medications, and lifestyle habits, such as…
The nurse is caring for a client with advanced heart failure and cardiomyopathy. The nurse understands that involving nursing, nutritional services, cardiology, and pharmacy in the client’s care team is an example of which approach?
peer review team nursing multidisciplinary community nursing
The nurse is caring for a client on the oncology unit. Which nursing activity is appropriate to delegate to the unit LPN?
obtaining vital signs administering blood administering IV pain medication administering chemotherapy if the nurse is busy with another client
The charge nurse on a surgical unit incorporates an authoritative style of leadership. Which characteristics describe this style of leadership? Select all that apply.
involves little planning motivates staff by coercion motivates staff by supporting their achievements involves communication flow down the chain of command includes group members in the decision-making process
The nurse is caring for a client with a digitalis level of 2.1 ng/mL. Which signs would the nurse be alert for in this client?
tinnitus flushed skin easy bruising anorexia, nausea, or diarrhea