The nurse is collecting data on a client. Which of the following data collected by the student is an example of primary data?
1. Review of the medical record
2. Review of laboratory results
3. Listening to morning report
4. Information obtained from client
4
Rationale 1: Information obtained from the client is considered primary data. All other sources of data are considered secondary.
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A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA) infection cultured from the urine. What action by the nurse is most appropriate?
a. Prepare to administer vancomycin (Vancocin). b. Strictly limit visitors to immediate family only. c. Wash hands only after taking off gloves after care. d. Wear a respirator when handling urine output.
The apnea monitor indicates that a preterm infant is having an apneic episode. What is the most appropriate nursing action in this situation?
a. Administer oxygen via a nasal cannula. b. Gently rub the infant's feet or back. c. Ventilate with an Ambu bag. d. Perform nasopharyngeal suctioning.
The chief nursing officer reviews the policy about "progressive discipline process." The progressive discipline process includes which of the following? The manager:
a. Is a counselor and friend to the employee. b. Should reprimand and suspend the em-ployee as a last resort. c. Should rehire the employee after a rea-sonable length of time. d. Should terminate the employee if the problem persists.
Social support is described as ______.
a. the patient’s social contacts b. social worker involvement c. informal support from healthcare staff d. patient’s social network and the resources they provide