The nurse should reduce fluid intake to less than 1,000 ml per shift. The nurse should keep the client in a supine position as much as possible. The nurse should encourage alternating activity with rest periods. The nurse should assess the ankles, legs, and feet for pitting edema.
An 84-year-old adult male requires nonurgent surgery. The client is considered to have diminished decision-making capacity due to a diagnosis of Alzheimer’s. The nurse questions his ability to provide informed consent for the procedure. The best action for the nurse to take in this situation is which of the following?
as this is nonurgent surgery with few risks, allow the client to sign the consent form contact administrative personnel for a determination consistent with hospital policy have the client’s 54-year-old second cousin sign the consent form request the physician sign the consent form
A client is being treated for pulmonary hypertension. The nurse knows that the involvement of nursing, pharmacy, cardiology, physical therapy, and nutritional services is an example of which of the following approaches?
continuity of care case management quality improvement interdisciplinary
The nurse is working with an unlicensed assistive personnel (UAP) in the medical-surgical unit. Which client should be assigned to the UAP?
a client with cervical cancer who has an internal radiation implant a client who is receiving blood as treatment for hypovolemic shock a client who had an abdominal wound dehiscence 24 hours earlier and requires dressing changes a client who is post-op day 2 following a laparoscopic hernia repair and gets up to the chair…
The charge nurse is teaching unit nurses about droplet precautions. Which statement by one of the nurses indicates further teaching is needed by the charge nurse?
“Mumps is a viral infection that requires droplet precautions.” “Pharyngeal diphtheria is a viral infection that requires droplet precautions.” “Pertussis is a bacterial respiratory infection that requires droplet precautions.” “Mycoplasma pneumonia is a bacterial respiratory infection that requires droplet precautions.”
Which diagnostic tool is most commonly used to determine the location of the myocardial damage?
electrocardiogram (ECG) echocardiogram cardiac enzymes cardiac catheterization
A client undergoes total shoulder replacement on the left shoulder. Which statements by the client indicates he requires further teaching?
“I look forward to soaking in my hot tub when I get home from surgery.” “The surgery will eliminate my pain within 24 hours.” “I will receive therapy for several weeks after my surgery.” “Walking is an exercise I’ll be able to do after surgery.”
The nurse is caring for a client on the orthopedic unit who had a total knee replacement on the left side. The nurse knows the client will be ready for discharge when she is able to do which of the following activities?
ambulate 100 feet with crutches or walker get up and down a flight of stairs flex the surgical knee 30 degrees fix a snack
The nurse is responsible for his own actions while on duty caring for clients. What is the name of this ethical principle?
________________
The nurse assists the client to the operating room table and supervises the operating room technician preparing the sterile field. Which action, completed by the surgical technician, indicates to the nurse that a sterile field has been contaminated?
A sterile object is held below the table surface and returned to the sterile field. The outer inch of the sterile towel hangs over the side of the table. A partially emptied container of sterile betadine is replaced within the sterile field. Sterile packages are opened with the first edge away from the technician.