A 35 year old female client with cancer refuses to allow the nurse to insert an IV for a scheduled chemotherapy treatment, and states that she is ready to
... [Show More] go home and die. What intervention should the nurse initiate?
A. Evaluate the client's mental status for competence to refuse treatment
B. Review the client's medical record for an advance directive
C. Determine if a DNR prescription has been obtained
D. Document that the client is being discharged against medical advice - Answer-A. Evaluate the client's mental status for competence to refuse treatment
A client with chronic renal disease is admitted to the hospital for evaluation prior to a surgical procedure. Which laboratory test indicated the client's protein status for the longest length of time.
A. Urine urea
B. Transferrin
C. Prealbumin
D. Serum albumin - Answer-D. Serum albumin
What client statement indicates to the nurse that the client requires assistance with bathing?
A. "I only bathe every other day"
B. "I left my eyeglasses at home"
C. "I don't understand why I'm so weak and tired"
D. "I wasn't able to pack a bag before I left for the hospital" - Answer-C. "I don't understand why I'm so weak and tired"
How should a nurse handle linens that are soiled with incontinent feces?
A. Place the soiled linens in a pillow case and deposit them in the dirty linen hamper
B. Put the soiled linens in an isolation bag, then place it in the dirty linen hamper
C. Ask the housekeeping staff to pick up the soiled linen from the dirty utility room
D. Place an isolation hamper in the client's room and discard the linens in it - Answer-D. Place an isolation hamper in the client's room and discard the linens in it
When caring for an immobile client, what nursing diagnosis has the highest priority?
A. Altered tissue perfusion
B. Impaired gas exchange
C. Risk for fluid volume deficit
D. Risk for impaired skin integrity - Answer-B. Impaired gas exchange
The nurse assess an immobile, elderly male client and determines that his blood pressure is 138/60, his temperature is 95.8F, and his output is 100 ml of concentrated u [Show Less]