tell the family that visiting hours are over ask the client if he wishes to see his family allow two family members to visit at a time provide entrance for the entire family to visit
A community center is having a health fair. Which of the following main food courses should the nurse recommend as most healthful for a 20-year-old adult whose total cholesterol level is 300 mg/dL?
fettuccine alfredo fried chicken grilled cheese sandwich with bacon natural peanut butter and banana sandwich on whole wheat bread
The nurse gives a 35-year-old primigravida client a RhoGAM injection in her 27th week of pregnancy. Which of the following client situations requires the nurse to take this action?
Rh-negative mother and Rh-positive father Rh-negative mother and Rh-negative father Rh-positive mother and Rh-negative father Rh-positive mother and Rh-positive father
A client arrives at the emergency department in her third trimester of pregnancy with painless vaginal bleeding. Which condition is suspected?
placental abruption urinary tract infection placenta previa uterine polyps
The nurse is caring for a client with a history of schizophrenia, alcohol abuse, bipolar disorder, and noncompliance with treatment and medications. The client has also been arrested in the past for violent behavior. Which action by the nurse is the most important when caring for a potentially violent client?
treat the client with courtesy and respect always maintain an open pathway to the door be sure the client swallows his pills and does not “cheek” them ask permission from the client before drawing blood or performing other invasive procedures
The nurse enters the client’s room and smells cigarette smoke. When confronted, the client says, “I only smoked one cigarette because I was having a bad craving.” Which action by the nurse is most appropriate?
escort the client outside to smoke call the health care provider to obtain an order for a nicotine patch remind the client that oxygen is in use and smoking is banned in the facility tell the client that if he continues to smoke in the room, he will be discharged from the hospital
The nurse answers a call to the unit, which turns out to be a bomb threat. Which actions by the nurse are correct? Select all that apply.
dismiss the call as a prank follow facility protocol to ensure client and staff safety try to find out where the bomb is and when it will go off alert the charge nurse, security, and the police department start evacuating clients, starting with those who are most mobile first
A 68-year-old woman newly diagnosed with diabetes is preparing for discharge. Which of the following activities best describes the nurse’s role as an advocate?
teach the client how to test her glucose level provide a short-term supply of insulin syringes refer the patient to home health care follow-up reinforce the follow-up visit to her primary care provider in two weeks
A nurse working in ICU has a client on a propofol (Diprivan) drip while on the mechanical ventilator. The nurse needs another bottle, which must be picked up in person in the hospital pharmacy. Which is the correct action by the nurse concerning this medication?
ask the unit secretary to go to the pharmacy and pick it up send the unlicensed assistive personnel (UAP) to pick it up since the nurse is busy ask the client’s health care provider to bring it when he or she rounds on the client ask another nurse to watch the clients while the nurse…
The unit manager believes that each member of the care team should have input regarding unit goals and problem solving techniques. The manager is concerned for each individual member and serves primarily as a resource person for the unit. The unit nurse understands that this style of leadership is which of the following?
autocratic situational democratic laissez-faire