On admission, a client presents a signed living will that includes a Do Not Resuscitate
(DNR) prescription. When the client stops breathing, the nurse performs
cardiopulmonary resuscitation (CPR) and successfully revives the client. What legal
issues could be brought against the nurse?
) Battery
Civil laws protect individual rights and include intentional torts, such as assault
(an intentional threat to engage in harmful contact with another) or battery
(unwanted touching). Performing any procedure against the client's wishes can
potentially poise a legal issue, such as battery (B), even if the procedure is of
questionable benefit to the client. (A, C, and D) are not examples against the
client's request
,Heparin 20,000 units in 500 ml D5W at 50 ml/hour has been infusing for 5½ hours. How
much heparin has the client received?
11,000 units
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube
and a continuous pump infusion. He reports that he had a bad bout of severe coughing a
few minutes ago, but feels fine now. What action is best for the nurse to take?
After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from
the tube.
An adult male client with a history of hypertension tells the nurse that he is tired of taking
antihypertensive medications and is going to try spiritual meditation instead. What should
be the nurse's first response?
It is important that you continue your medication while learning to meditate.
, The nurse is assessing the nutritional status of several clients. Which client has the
greatest nutritional need for additional intake of protein?
A lactating woman nursing her 3-day-old infant.
Twenty minutes after beginning a heat application, the client states that the heating pad
no longer feels warm enough. What is the best response by the nurse?
Your blood vessels are becoming dilated and removing the heat from the site.
During the admission interview, which technique is most efficient for the nurse to use
when obtaining information about signs and symptoms of a client's primary health
problem?
Give this one a try later!
Closed-ended questions
Lay descriptors of health problems can be vague and nonspecific. To
efficiently obtain specific information, the nurse should use closed-ended
questions (C) that focus on common signs and symptoms about a client's
health problem
(DNR) prescription. When the client stops breathing, the nurse performs
cardiopulmonary resuscitation (CPR) and successfully revives the client. What legal
issues could be brought against the nurse?
) Battery
Civil laws protect individual rights and include intentional torts, such as assault
(an intentional threat to engage in harmful contact with another) or battery
(unwanted touching). Performing any procedure against the client's wishes can
potentially poise a legal issue, such as battery (B), even if the procedure is of
questionable benefit to the client. (A, C, and D) are not examples against the
client's request
,Heparin 20,000 units in 500 ml D5W at 50 ml/hour has been infusing for 5½ hours. How
much heparin has the client received?
11,000 units
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube
and a continuous pump infusion. He reports that he had a bad bout of severe coughing a
few minutes ago, but feels fine now. What action is best for the nurse to take?
After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from
the tube.
An adult male client with a history of hypertension tells the nurse that he is tired of taking
antihypertensive medications and is going to try spiritual meditation instead. What should
be the nurse's first response?
It is important that you continue your medication while learning to meditate.
, The nurse is assessing the nutritional status of several clients. Which client has the
greatest nutritional need for additional intake of protein?
A lactating woman nursing her 3-day-old infant.
Twenty minutes after beginning a heat application, the client states that the heating pad
no longer feels warm enough. What is the best response by the nurse?
Your blood vessels are becoming dilated and removing the heat from the site.
During the admission interview, which technique is most efficient for the nurse to use
when obtaining information about signs and symptoms of a client's primary health
problem?
Give this one a try later!
Closed-ended questions
Lay descriptors of health problems can be vague and nonspecific. To
efficiently obtain specific information, the nurse should use closed-ended
questions (C) that focus on common signs and symptoms about a client's
health problem
