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HESIFUNDAMENTALS
A policy requiring the removal of acrylic nails by all nursing personnel was
implemented 6 months ago. Which assessment measure bestdeterminesif
theintended outcome ofthepolicyisbeingachieved.
a. Numberofstaffinducedinjury
b. Clientsatisfactionsurvey
c. Healthcare-associatedinfectionrate.
d. Rateofneedle-stickinjuriesbynurse.
A male client presents to the clinics stating that he has a high stress job and is
having difficulty falling asleep at night. .The client reportshavinga
constantheadache andis seekingmedication tohelp thesleep. Which intervention
should thenurseimplement?
a. Determinetheclient’ssleepandactivitypattern
b. Obtainprescriptionforclienttotakewhenstressed
c. Referclientforasleepstudyandneurologicalfollow-up
d. Teachcopingstrategiestousewhenfeelingstressed
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The nurse is teaching a client about use of the syringes and needles for home
administration of medications. Which action by the
clientindicatesanunderstanding of standardprecaution?
a. Removeneedlebeforediscardingusedsyringes
b. Wearglovestodisposeoftheneedleandsyringe
c. Doneafacemask beforeadministeringthemedication
d. Washeshandsbeforehandlingtheneedleandsyringe
While interviewing a client, the nurse records the assessment in the electronic
health record. Which statement is most accurate
regardingelectronicdocumentation during an interview?
a. The client’scomfort level is increased when the nursebreaks
eyecontactto typenotes into therecord
b. Theinterviewprocessisenhancedwithelectronicdocument
ationandallowstheclienttospeakatanormalpace
c. The nurse has limited ability to observe nonverbal
communication while entering the assessmentelectronically
d. Completing theelectronicrecordduringaninterview is
alegalobligation oftheexaminingnurse
The nurse observes an UAP positioning a newly admitted client who has a
seizure disorder. The client is supine and the UAP is placingsoftpillowsalong
thesiderails.Which action shouldthenurseimplement?
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