During orientation to a new job, a nurse questions the preceptor about the reason for not milking or stripping a client's chest tube and is told that it is against agency policy
The nurse then realizes that this procedure should not be done because doing so would:
1. anger the new employer.
2. extend the orientation period.
3. expose the nurse to legal liability.
4. make the client less confident in care provided.
ANS: 3
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A patient admitted to the intensive care unit was placed on ventilator support. The nurse caring for this patient identified on the plan of care that one of the outcomes was that the patient would not develop ventilator-acquired pneumonia (VAP)
To achieve this outcome, the nurse delegates the following to the unlicensed assistive personnel: "Please perform oral care on the patient every 2 hours. In this situation oral care would include using the special swabs we have for our patients on VAP precautions so we can prevent pneumonia." Which of the five rights of delegation did the nurse use? a. Right route b. Right direction/communication c. Right dose d. Right supervision
The nurse is teaching coping strategies to parents of a child with a chronic illness. What coping strategies should the nurse include? (Select all that apply.)
a. Listen to the child. b. Accept the child's illness. c. Establish a support system. d. Learn to care for the child's illness one day at a time. e. Do not share information with the child about the illness.
What is the best time of day to collect a sputum specimen for culture?
a. Early in the morning. b. After breakfast. c. After chest physiotherapy. d. After a nebuliser.
Pulses can be felt in locations where large veins come close to the skin
Indicate whether the statement is true or false