Which of the following factors must be considered before deciding on an appropriate plan of action?
a. Family agrees to the nurse's plan.
b. Family is capable of the required actions.
c. Family will learn better coping skills from the nurse's plan.
d. Nurse has informed family how to complete the required actions.
ANS: B
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A patient has asked the nurse to explain her laboratory results. The nurse informs the patient that he must first assist another patient to the bathroom and then he will explain the results
The nurse assists the other patient to the bathroom and then returns to explain the results to the patient. What moral principle has the nurse displayed? 1) Nonmaleficence 2) Autonomy 3) Beneficence 4) Fidelity
The nurse is attempting to ambulate an older adult client who recently experienced a fall at the assisted living facility where he resides
The client is reluctant to walk and consents to move only to the chair, reporting that "it hurts too much to walk." Which of the following nursing interventions is most therapeutic regarding this client? 1. Allow the client to remain in bed in order to conserve his energy. 2. Transfer him to the chair, realizing some activity is preferable to none. 3. Call his health care provider to discuss the apparent ineffectiveness of his pain medications. 4. Assess the client for other factors that may be affecting his ability and motivation to ambulate.
A client receiving a blood transfusion for 15 minutes complains of suddenly feeling cold and is shivering. Blood pressure has decreased since the last assessment. Which is the nurse's priority action?
1. Notify the health care provider. 2. Monitor the client's blood pressure every 5 minutes. 3. Stop the blood infusion, and run the normal saline on the other side of the Y tubing. 4. Stop the blood infusion, and remove the tubing from the IV catheter, replacing it with normal saline.
Which of the following provides measurable information to determine achievement of patient outcomes?
a. Subjective terminology b. Open-ended time frames c. Objective observations d. P-E-S format