a nurse is planning to discharge a client who has quadriplegia to his home. the nurse suggests that the family might need respite care services. when a
... [Show More] family member asks how respite care can help, which response should the nurse provide?
respite care allows the primary caregiver time away from day-to-day care responsibilities
a nurse is caring for a group of pts. which of the following clients should the nurse refer to a social worker?
a client who requires placement in an assisted living facility
a pt who requests to secure an emergency notification system in the home
a pt who requests to get school assignments while hospitalized on a pediatric unit
a charge nurse is preparing an educational session about addictive disorders for nursing staff. which of the following should the nurse include as an etiological factor of addictive disorder?
low self-esteem
family history of addiction
personality disorders
a nurse is reinforcing teaching about self-care with a pt who has pelvic inflammatory disease. the pt does not speak English, what action by the nurse is appropriate
seek assistance from a facility-approved interpreter
a nurse is among the first responders to a mass-causality incident and does not know what type of personal protective equipment (PPE) is needed. which of the following actions should the nurse take?
choose the highest level of protection equipment available
a nurse is supervising a LPN who is providing care to a pt who is postoperative. which of the following statements by the pt requires the nurse to follow up with the PN?
i have not received any of my medications today
a nurse in the emergency department is caring for a pt who has extensive partial and full-thickness burns of the head, neck , chest. while planning the pts care, the nurse should identify which of the following risks as the priority for assessment and intervention
airway obstruction
a nurse is planning a staff education session regarding biological weapons of mass destruction. what should he plan to include in the session
smallpox
anthrax
botulism
a nurse overhears 2 APs from the med surg unit discussing a hospitalized pt while in the cafeteria, what action should be taken
quietly tell the APs that this is not appropriate
a nurse is caring for a pt whose family member requests to view the pt's medical record. what response should the nurse make
the pt should provide permission to share the records with you
a nurse is caring for an OA pt who is disoriented and has a history of falls, what actions should the nurse take
check on the pt hourly
instruct the pt to use the call light
apply an ambulation alarm to the pt's leg
a charge nurse is working with an AP who provides excellent care to pts and is an effective team member. what action shoudl the nurse take first to recognize the APs contributions to pt care
give positive feedback directly to the AP
a nurse is planning care for a pt who has hepatitis B, what interventions should the nurse include in the plan
encourage short periods of ambulation
a nurse is planning care for 4 clients and is assigning tasks to a LPN, and an AP, what should be assigned to the LPN
reinforcing teaching to a pt to begin taking enoxaparin at home following a hip arthroplasty
a nurse is assigned a group of pts at the start of the shift. what client should the nurse care for first
a pt asking about his PCA pump that contains morphine
a nurse in a long-term care facility enters the day room and finds the window curtains on fire, what is the order of emergency actions
remove the pt from the room
activate the fire alarm
close the door
extinguish the fire
a nurse is caring for four pts, after administering morning meds, she realizes that the nifedipine prescribed for one pt was inadvertently administered to another pt, what actions should the nurse take first
check the pt's vital signs
an AP reports to the nurse that a pt who is 3 days postoperative following an abdominal hysterectomy has a dressing that is saturated with blood, what tasks should the nurse delegate to the AP?
obtain vital signs
a nurse is teaching a newly licensed nurse about methods to reduce costs of pt care, what statements by the newly licensed nurse indicates understanding of the teaching
I should encourage clients to receive an annual flu immunization
a nurse is caring for 4 pts who are postop from surgery 24 hours ago, at 1200 the nurse assesses the pts, what pt is priority
the pt whose bp at 0800 was 138/86 and at 1200 is 106/60
a nurse is teaching a class on torts, the nurse should include what situation as an example of negligence
a nurse identifies the absence of peripheral pulsation in a casted extremity in the early morning and reports it to the provider in the early afternoon
a nurse on a pediatric unit is caring for a pt and his family, his parents define family as a husband, wife, and child, this is the definition of a
nuclear family
a nurse is providing instructions for a 52 year old pt who is scheduled for a colonoscopy, the pt reports that he has not had the procedure before and is anxious about pain, what response by the nurse is appropriate
before the examination, your provider will give you a sedative that will make you sleepy
a nurse is completing discharge teaching with a pt, of the following barriers to learning, the nurse identifies with this pt, which should the nurse interpret as a need to postpone this session
pain
a nurse educator is discussing community mental health with a group of nursing students, what sites should the educator identify as a source of secondary preventions
crisis center
a community health nurse is reviewing the levels of disease prevention, what activities is an example of tertiary prevention
providing treatment for pt's who have COPD [Show Less]