The nurse decides it would be beneficial to the client to allow the client's infant granddaughter to visit before the client's scheduled heart transplant. Before implementing this intervention the nurse should collaborate with which of the following?
A. Client and Family
B. Other nursing staff on the unit
C. Security department
D. Hospital administration
E. This is not a collaborative intervention so no collaboration will be needed prior to implementation
Answer:
A. Client and Family
B. Other nursing staff on the unit
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Thrombophlebitis may be prevented by completing which one of the following nursing interventions?
A. Gentle massaging of extremities. B. Maintaining bed rest until taking in adequate p.o. fluids. C. Providing deep breathing exercises. D. Dangling client at side of bed for an extended time.
A patient undergoing treatment for a recurrent UTI is placed on nitrofurantoin. Which component of the patient's history would concern the nurse?
a. Creatinine clearance 35% b. Allergy to penicillins c. Hemoglobin 12.5 d. A history of corrected ureteral stricture
The nurse is preparing an educational session about menstruation for a group of adolescents. Which hormone should the nurse instruct as initiating ovulation?
A) Estrogen B) Progesterone C) Luteinizing hormone D) Follicle-stimulating hormone
It is considered inappropriate to delegate vital sign assessment to certified nursing assistants (CNAs) or unlicensed assistive personnel (UAPs) in which of the following situations? Select all that apply
1. A patient is being admitted to the facility. 2. A patient is in an unstable postoperative condition. 3. A patient is obese. 4. A patient is being administered intravenous (IV) medications that may affect the vital signs. 5. A patient has pale, cold, and clammy skin.