Which activities are appropriate for the nurse to collaborate with a patient? (Select all that apply.)
a. Prescribing a new medication dose
b. Health promotion activities
c. End-of-life comfort decisions
d. Interpreting laboratory results
e. Lifestyle changes to improve health
ANS: B, C, E
Nurses should include patients and their families when exploring health promotion activities, end-of-life decisions, lifestyle changes, and treatment options. Prescribed medication doses are initiated by educated professionals, although the patient gives feedback on the effectiveness of medications. Patients are not trained to interpret lab results, but patients rely on health professionals to explain results to them.
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The nurse is caring for an older adult patient who has a history of depression. Which comment by the patient indicates an immediate need for further assessment?
a. "I am so old; all my friends have died." b. "I am useless now; there is no reason to be alive." c. "I am looking forward to seeing my husband in heaven someday." d. "I retire in 6 months, and it will be all downhill from there." ____
The nurse is assessing the client's pupillary responses. The client is found to have no consensual response. Which conclusion by the nurse is the most appropriate?
1. Cranial nerve III may not be functioning appropriately. 2. This is a normal finding. 3. This is evidence of increased intracranial pressure. 4. This is evidence of optic nerve damage.
When caring for a neonate in a radiant warmer, what should the nurse be alert to?
a. Exposure to prolonged cold stress b. Need for Plexiglas shields to protect the infant c. Transepidermal water loss leading to dehydration d. Increased risk of infection from the open environment
Patient confidentiality is waived in the instance of:
a. a positive HIV test b. felony records on the part of the parent c. suspected child abuse d. corporal punishment