“It is inappropriate to speak me or any nurse that way.” “While you’re attractive, I’m married.” “Don’t you have a fiancé?” “I’m old enough to be your parent.”
The nurse is interviewing a client with clinical depression. Which of the following risk factors would the nurse expect to find in the client’s history? Select all that apply.
normal childhood family history of depression recent major life change Lipitor used to treat high blood pressure
A client scheduled for a cardiac catheterization tells the nurse, “My mother died during this same procedure 10 years ago. I’m afraid the same thing will happen to me.” Which of the following responses by the nurse is the most appropriate?
“It’s normal to be scared. You are safe here. Let’s discuss the procedure.” “I’ll ask the cardiologist to come and speak with you about your concerns.” “We have the best outcomes of any facility in the area for this procedure.” “Don’t worry. The procedure has improved a lot in the last 10 years.”
The nurse is caring for an elderly client with dementia. The family wishes to take the client home instead of placing her in an assisted living facility. Which information should the nurse include in his discharge teaching? Select all that apply.
the names of community resources that can help families who provide care at home that the health care provider will not be happy that the client is going to live at home the advantages of having the client cared for in an assisted living facility instead of at home the contact information for the social…
A nurse is working in the cardiac unit when a Code Pink (infant abduction) is called. Which action by the nurse is the best response to the code?
nothing; she does not work in the pediatric area search in empty rooms or unlocked closets for the infant avoid taking the elevator down to the lab until the all clear is called stay alert for someone who matches the description of the person of interest tell the visitors that they must leave since a…
The nurse is preparing to hang a unit of blood on a client. The blood has been checked off with two RNs and the pre-infusion vitals recorded. The nurse is at the bedside monitoring the infusion. Shortly after beginning the infusion, the pump alarm sounds. The IV has infiltrated. No blood has yet reached the client. The client is a hard stick, and the nurse realizes that a line cannot be placed within the time frame to begin the infusion. Which action by the nurse is correct?
return the blood and the tubing to the blood bank for storage until an IV can be placed place the blood bag and tubing in the medication refrigerator until an IV can be restarted cancel the order for blood and notify the health care provider that the client has no access wait until 30 minutes…
The nurse on a pediatric unit has just admitted a 3-year-old diagnosed with measles. Which precautions should the nurse initiate? Select all that apply.
droplet precautions hazmat precautions contact precautions airborne precautions universal precautions
A client is being treated for irritable bowel syndrome (IBS). The nurse knows that the involvement of nursing, pharmacy, gastroenterology, and nutritional services is an example of which of the following approaches?
continuity of care multidisciplinary managed care case management
An RN is in charge of a team on a medical/surgical unit that includes an LPN. The RN understands that which of the following is an activity that falls within the scope of practice of an LPN?
contact the physician for prescription orders formulate a nursing diagnosis administer oral medications to a client collaborate with physical therapy to develop a discharge plan