A nurse in a long-term care facility is assisting with an inservice for newly hired assistive personnel about legal issues within the
facility.
... [Show More] WhichofIthe following should the nurse include as an example
ofIassault?
ANS: Informing a client the nurse is going to administer an injection
even though the client refuses
.
A nurse is contributing to the plan ofIcare for a care for a client who has
chest tube co nnected to a closed drainage system. Which ofIthe following
actions should the nurse i nclude in the plan of care?
ANS: Maintain the drainage system below the level ofIthe client's
chest.
A nurse in an acute mental health facility is caring for a client who has
borderline personality disorder and reports. "I am going to kill my
girlfriend when I get out ofIhere." Which ofIthe following actions should
the nurse take?
ANS: Notify the client's care team of the threats against the partner
A nurse is admitting a client who is at high risk for suicide. Which ofIthe
following actions is the nurse's priority?
ANS: Search the client's personal belongings
A nurse is caring for a client who is 1 day postoperative and is unable to
ambulate. W hich ofIthe following actions should the nurse take to
promote the client's venous return?
ANS: Maintain the sequential compression device.
A nurse on an acute care unity is collecting data from a schoolage Child who has cystic fibrosis. Which ofIthe following findings is the
priority for the nurse?
ANS: Reports lack ofIappetite
a nurse working in a provider's ofollowingice receives a phone call from
the parent ofIa schoolage child who has varicella. The parent asked the nurse when the child can
return to school. Which ofIthe following responses should the nurse make?
ANS: "When the lesions have scabbed over."
A nurse in a pediatric clinic is collecting the data from a schoolage child whose injuries are inconsistent with the parent's stated cause.
Which ofIthe following actions should the nurse take?
ANS: Report the suspected abuse to a appropriate agency.
A nurse is collecting data from a middle adult female client who is
taking melatonin.Which ofIthe following responses to the med should the
nurse expect?
ANS: Improved sleep
A nurse on a pediatric unit is collecting data from four newly admitted
clients. Which ofIthe following clients should the nurse identify as being
at risk for urinary retention?ANS: A schoolage child who has allergic rhinitis and is taking diphenhydramine.
A nurse is preparing to administer purified protein derivative (PPD) to a
client who ha s suspected TB. Which ofIthe following actions should the
nurse plan to take?
ANS: Ensure the injection produces a wheal on the skin
A client who is diagnosed with Parkinson's disease verbalizes frustration
due to increase difollowingiculty with ambulation. Which ofIthe following
responses should the nurs e take?
ANS: Perform active ROM with your arms and legs two times a day. [Show Less]