The daughter of an older patient sees a reddened area on the patient's coccyx and wants to massage the area to improve circulation. What response by the nurse is indicated?
1. "I will record these findings in the medical record."
2. "I will need to obtain an order from the physician to perform a massage."
3. "Massaging the area may actually cause more harm to a potentially compromised area of skin."
4. "Massaging the area twice daily will help restore circulation and should be incorporated into the plan of care."
3
Rationale: The nurse needs to do more than state that these finding will be recorded in the patient's medical record.
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A client asks the nurse about her vital signs, and the nurse refuses to provide the client with this information. This is an example of a breach in:
a. justice c. veracity b. nonmaleficence d. beneficence
When palpating the cardiac landmarks, you should examine for the presence of a thrill, which is best examined using the
a. palmar surface of the hand at the base of the fingers. b. finger pads of all five fingers. c. ulnar aspect of a closed fist. d. fingertips along with a stethoscope as a guide.
The nurse is instructing a patient on testicular self-examination. What information should the nurse include in this teaching?
1. Any painful lump should be reported immediately. 2. Tenderness of the scrotal sac contents should be reported. 3. Most men have one testicle that is significantly larger than the other. 4. It is best to do the examination upon arising on the designated day.
Ethnic differences have been found in drug:
1. Absorption 2. Hepatic metabolism 3. Filtration at the glomerulus 4. Passive tubular reabsorption