The nurse providing preoperative care to a client who is scheduled for a left mastectomy and axillary lymph node dissection notes that the client is wearing a wedding band on her left ring finger. Which action should the nurse take?
A. Tape the wedding band in place
B. Explain to the client why the wedding band must be removed
C. Ask the client whether she would like to remove the wedding band or wear it to surgery
D. Ask the client to sign a release to free the hospital of responsibility if the wedding band is lost during surgery
Ans: B. Explain to the client why the wedding band must be removed
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After receiving an injury as a result of negligent care by a physician, the patient brings suit against the hospital, the physician, and all of the members of the health care team who participated in his care
Based on the principle of respondeat superior, the hospital is liable for the actions of whom? A) Nurse working in her usual assignment at hospital B) Non-employee physician practicing in the hospital C) Nurse on temporary assignment from an agency D) Nurse doing volunteer work at another agency
You are doing rounds at the beginning of your shift when you notice a sputum specimen sitting on the bedside table in a patient's room. You ask the patient when he produced the sputum specimen
You learn the specimen is about 4 hours old. Knowing this information, what action would you take? A) Immediately take the sputum specimen to the laboratory B) Discard the specimen and assist the patient in obtaining another specimen C) Refrigerate the sputum specimen D) Wait an additional 2 hours before sending the specimen to the laboratory
A teenage girl is trying on a skirt that her mother does not approve of wearing. The girl is exhibiting:
1. Intimacy vs Isolation. 2. Identity vs Role Confusion. 3. Industry vs Inferiority. 4. None of the above.
A child is being treated for dehydration with intravenous fluids. The child currently weighs 13 kg and is estimated to have lost 7% of his normal body weight. The nurse is double-checking the IV rate the healthcare provider prescribed. The formula the healthcare provider used was for maintenance fluids: 1000 mL for 10 kg of body weight plus 50 mL for every kilogram over 10 for 24 hours
Replacement fluid is the percentage of lost body weight × 10 per kg of body weight. According to the calculation for maintenance plus replacement fluid, which hourly IV rate will the nurse implement for 24 hours? 1. 88 mL/hr 2. 86 mL/hr 3. 81 mL/hr 4. 83 mL/hr