A nurse uses the SBAR method to hand off the communication to the healthcare team. Which of the following might be listed under the "B" of the acronym?
A) vital signs B) mental status C) patient problem D) further testing
B
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A client is in the preoperative holding area waiting for cataract surgery. The client says "Oh, yeah, I forgot to tell you that I take clopidogrel, or Plavix." What action by the nurse is most important?
a. Ask the client when the last dose was. b. Check results of the prothrombin time (PT) and international normalized ratio (INR). c. Document the information in the chart. d. Notify the surgeon immediately.
A novice nurse is working in a busy emergency department of a hospital, situated in a culturally diverse area of the city. Which should the nurse do when providing culturally competent care?
A) Possess the underlying background knowledge that will provide these clients with the best possible health care. B) Understand and attend to the total context of the client's situation, using knowledge, attitudes, and skills. C) Strive to be culturally sensitive, culturally appropriate, and culturally competent. D) Try to learn about the attitudes toward health care and traditions of the different cultures in that area.
A nurse is caring for a client dying of HIV-related pneumonia. The client is unable to come to terms with the fact that she is dying and feels that life has been unfair to her. How can the nurse promote acceptance of death in this client?
A) Tell the client that the illness can be overcome. B) Ask the client if she wants to meet and thank her loved ones. C) Inform the client that the reports show improvement. D) Ask the relatives not to discuss death in front of the client.
The burned client's family ask at what point the client will no longer be at increased risk for infection. What is the nurse's best response?
A. "When fluid remobilization has started." B. "When the burn wounds are closed." C. "When IV fluids are discontinued." D. "When body weight is normal."