Which of the following actions will assist in protecting the nurse from legal action?
1. Recording client information in the chart at the end of the shift
2. Delegate as much client care as possible
3. Assure clients that you know what is best for them
4. Ask for assistance
4
Rationale 1: Recording should be done promptly and accurately
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A 2-year-old boy has come to the well-child clinic with his mother for a checkup. When the nurse asks his mother whether she has any concerns, she says, "I don't know why he won't quit touching his ‘privates' all the time
I have tried sitting him in a chair, smacking his hand, and telling him no, but he continues to do this. I just don't know how to make him stop." How would you best respond to her concerns? Select all that apply. a. "Give him a little time, and he'll grow out of it. He's just too young to understand right now." b. "How often do you punish him by giving him a time-out or by using physical discipline?" c. "Physical punishment, such as smacking his hand, is not the best way to modify a child's behavior." d. "It isn't unusual for him to fondle his genitals, as this is part of his exploration of his body."
Which assessment findings would be recognized as late signs of shock in a child?
a. Metabolic (lactic) acidosis b. Cool skin c. Bradycardia d. Prolonged capillary refill e. Hypotension
The laundry hamper and clean linen should be
A. next to each other in the hallway. B. at least two feet apart. C. separated by at least one room's width. D. at opposite ends of the unit.
A patient cries as the nurse explores the patient's relationship with a deceased parent and says, "I shouldn't be crying like this. It happened a long time ago
" Which response(s) by the nurse will facilitate communication? (Select all that apply.) a. "Why do you think you are so upset?" b. "I can see that you feel sad about this situation." c. "The loss of your parent is very painful for you." d. "Crying is a way of expressing the hurt you're experiencing." e. "Let's talk about something else, since this subject is upsetting you."