A policy required the removal of acrylic nails by all nursing personnel was implemented 6 months ago. Which assessment measure best determines if the
... [Show More] intended outcome of the policy is being achieved?
(ANS- health care-associated infection rate
The nurse is preparing to assist a newly admitted client with person hygiene measures. The client... the client's gag reflex. Which action should the nurse include?
(ANS- place tongue blade on back half of tongue
The nurse explains to an older adult male the procedure for collecting a 24-hr urine specimen for creatinine clearance.
(ANS- empty the urinal contents into the 24-hr collection container
A 54 yo male client and his wife were informed this morning that he has terminal cancer. Which nursing intervention is most appropriate for the wife? (ANS- refer her to support group for family members of those dying of cancer
A client who has a body mass index (BMI) of 30 is requesting information on the initial approach to a weight loss plan. Which action should the nurse recommend? (ANS- keep a record of food and drinks consumed daily
The nurse assesses a client who has a nasal cannula delivering oxygen at 2L/min. To assess for skin damage related to the cannula, which areas should the nurse observe?
(ANS- top of the ear around the nostrils over the checks
The nurse observes an unlicensed assistive personnel (UAP) who is providing a total bed bath for a confused and lethargic client. The UAP is soaking the clients foot in a basin of warm water placed on the bed. What action should the nurse take? (ANS- remind the UAP to dry between the clients toes completely
The nurse in the emergency department observes a colleague viewing the electronic health record of a client who holds an elected position in the community. The client is not a part of the colleagues assignment. Which action should the nurse implement?
(ANS- communicate the colleagues action to the unit. charge nurse
At 0100 on a male clients second postoperative night, the client states he is unable to sleep and plans to read until feeling sleepy. What action should the nurse implement?
(ANS- bring the client a prescribed PRN sedative-hypnotic
The nursing staff in the cardiovascular intensive care unit are creating a continuous quality improvement project on social media that addresses coronary artery disease. Which action should the nurse implement to protect client privacy?
(ANS- remove identifying information of the clients who participated
A male client with unstable angina needs a cardiac catheterization, so the healthcare provider explains the risks and benefits of the procedure and then leaves to set up for the procedure. When the nurse presents the consent form for signature, the client hesitates and asks how the wires will keep his heart going. Which action should the nurse take?
(ANS- postpone the procedure until the client understands the risks and benefits
The nurse is teaching a client how to do active range of motion exercises. To exercise the hinge joints, which action should the nurse instruct the client to perform?
(ANS- bend the arm by flexing the ulnar to the humerus
A postoperative client has three different PRN analgesics prescribed for different levels of pain. The nurse inadvertently administers a dose that is not within the prescribed parameters. What actions should the nurse take first?
(ANS- access for side effects of the medication
When assessing a male client, the nurse finds that he is fatigued, and is experiencing muscle weakness, leg cramps, and cardiac dysrhythmias. Based on these findings, the nurse plans to check the clients laboratory values to validate the existence of which? (ANS- hypokalemia [Show Less]