Which of the following actions represents primary prevention by the nurse who wishes to be a good community member?
a. Encouraging limitation of activity when air pollution is high
b. Obtaining occupational health histories for all new clinic admissions
c. Screening toddlers attending the clinic for lead poisoning
d. Supporting programs for waste reduction and recycling
ANS: D
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When a patient's aggression quickly escalates, on which principle should nursing intervention be based?
a. Staff should match their tone of voice and level of intensity to the patient's. b. When there is no time to de-escalate, immediate use of restraint is necessary. c. Always ask the patient what will be most helpful to increase his sense of control. d. Choose the least restrictive measure that will keep the patient and others safe.
Analysis has shown that a client's right atrial pressure is 30 mm Hg. What is the most likely conclusion that the client's care team will draw from this piece of data?
A) The result is likely normal and gravity dependent given the lack of valves in thoracic and central veins. B) The pressure is insufficient to provide adequate stroke volume and cardiac output. C) The pressure is excessive given that the right atrium should be at atmospheric pressure. D) Pressure pulsations are likely to be undetectable given the low atrial pressure.
A nurse is caring for a client with malignant hypertension whose blood pressure has increased by 40 mm Hg during the past hour. The nurse goes to lunch and fails to report the change to the physician. The nurse is at risk for being charged with:
a. negligence. b. assault. c. defamation of character. d. tort.
A nurse is conducting an interview for a health history. In addition to asking the patient about medications being taken, what else should be asked to assess the risk for drug interactions?
A) the effects of prescribed medications C) daily amount of intake and output B) type and amount of foods eaten D) use of herbal supplements