Prioritize the following guidelines for nursing practice in order of specificity (1–4)
A. ____ State laws
B. ____ Institutional policies and procedures
C. ____ Federal laws
D. ____ State nurse practice acts
ANS:
C, A, D, B
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An older patient has an increase in pitting edema of both ankles and is experiencing breathlessness. The patient is not experiencing any pain. What action should the nurse take to help the patient at this time?
1. Allow the patient to rest. 2. Measure intake and output. 3. Measure the patient's weight. 4. Contact the physician for further evaluation and treatment.
The nurse is preparing a program for the parents of school-age children on ways to prevent hearing loss. What information should the nurse include in this program? (Select all that apply.)
A) Avoid placing any objects into the ears. B) Ensure that all immunizations are current. C) Use over-the-counter remedies to treat sore throats. D) The impact of chronic exposure to loud music when using earphones. E) Protect the ears with earplugs or earmuffs when in loud environments.
Concerning protein in the diet of pregnant women, nurses should be aware that:
1. many protein-rich foods are also good sources of calcium, iron, and B vitamins. 2. many women need to increase their protein intake during pregnancy. 3. as with carbohydrates and fat, no specific recommendations exist for the amount of protein in the diet. 4. high-protein supplements can be used without risk by women on macrobiotic di-ets.
In a patient whose wound has a high risk of infection or must be drained, wound closure occurs by:
a. primary union (first intention). b. granulation (second intention). c. delayed primary closure (third intention). d. regenerative closure (fourth intention).