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A nurse is providing care to four clients in an acute care setting.
The nurse should identify that which of the following client
statements presents and ethical dilemma?
"I might file a lawsuit because of how my surgery went."
"Please don't tell my doctor, but I am taking my partner's
oxycodone."
hurts too much."
me sick to my stomach." - ANSWER-"Please don't tell my doctor,
but I am taking my partner's oxycodone."
A nurse is preparing to document information about a client's
lower legs, which are swollen with 6 mm edema. Which of the
following information should the nurse
document?
1+ pitting edema
2+ pitting edema
,3+ pitting edema
4+ pitting edema - ANSWER-3+ pitting edema
A nurse manager is reinforcing teaching with a group of newly
licensed nurses about the disclosure of client health
information. The nurse can disclose health information without
the client's written permission to which of the following
entities?
an insurance agency offering a life insurance policy
a family member who requests the client's diagnosis
a physical therapist who is involved in the client's care
an employer completing a pre-employment screening -
ANSWER-a physical therapist who is involved in the client's care
A nurse is preparing to remove staples from a client's incision.
Which of the following actions should the nurse take?
lift the staple remover when squeezing the handle
avoid completely closing the handle after squeezing
expect the staple to bed at each outer side of the staple
remove the staple from the skin after both sides are visible -
ANSWER-remove the staple from the skin after both sides are
visible
,A nurse is reinforcing teaching with a client who has
hypertension and a
daily. Which of the following client
statements indicates an understanding of the teaching?
a. "I will wait 15 minutes after drinking coffee to measure my
blood pressure."
b. "I will measure my blood pressure while my arm is elevated
above my heart."
c. "I should remove constrictive clothing prior to measuring my
blood pressure."
d. I should measure my blood pressure immediately after eating
breakfast." - ANSWER-"I should remove constrictive clothing
prior to measuring my blood pressure."
A nurse is contributing to the plan of care for four clients. For
which of the following clients should the nurse initiate airborne
precautions?
a client who has pneumonia
a client who has measles
a client who has pertussis
a client who has methicillin-resistant Staphylococcus aureus
(MRSA) - ANSWER-a client who has measles
, A nurse is contributing to the plan of care for a client who
practices Islam. Which of the following questions should the
nurse ask the client to clarify her religious preferences?
"Do you receive Holy Communion?"
"Do you follow a kosher diet?"
"Do you consume pork products?"
"Do you oppose receiving a blood transfusion if it is needed?" -
ANSWER-"Do you consume pork products?"
A nurse is reinforcing teaching with a client who has insomnia.
Which of the following statements by the client indicates an
understanding of the teaching?
"I should turn on the ceiling fan to block out unwanted noise."
"I will limit my daily nap to 45 minutes."
"I will drink a cup of green tea at bedtime to help me sleep."
"I should get out of bed if I don't fall asleep within an hour of
lying down." - ANSWER-"I should turn on the ceiling fan to block
out unwanted noise."