A school nurse reports suspected child abuse even though there is a breach of confidentiality. The nurse is protected under
1. Civil immunity
2. Sovereign immunity
3. Nurse practice act
4. Respondeat superior
ANS: 1
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The patient who has been receiving analgesic for metastatic bone pain is having difficulty swallowing the medication. What should the nurse do?
A) Request the physician to order a transdermal patch. B) Crush the medication. C) Administer the patient's medication with the meal tray. D) Administer the medication rectally.
A 62-year-old former professional football player is in the hospital for a total knee replacement as a result of osteoarthritis
In discussing the disease with the patient during preoperative teaching, you may consider the incorporation of the error theory of aging to help the client understand how the disease has affected him. The specific theory that applies in this case is A) cross-link theory. B) somatic DNA damage theory. C) free radical theory. D) wear and tear theory.
A hospital-based nurse researcher at Hospital A conducts experimental research on a rotating bed and its effect on prevention of pressure ulcers in hip fracture patients over 80 years of age with cognitive functional impairment
Because there are so few patients over 80 with fractured hips and cognitive functional impairment, and because the researcher anticipates problems with obtaining consent, a convenience sample is utilized and every patient who meets the criteria and consents is used in the study. The bed, although expensive, is found to be much more effective in preventing pressure ulcers in this population than is turning alone. The study is published. What are the implications of applying these findings, considering the researcher's use of a convenience sample? (Select all that apply.) a. The findings can be applied to similar patients who come to Hospital A, with the understanding that data collection will continue and represent a second study, since the research is unreplicated. b. The findings may be applicable to similar patients who come to Hospital B, but without replication, this use cannot be mandated in the research report. c. The rotating bed should not be used outside of Hospital A at all until a replication study is conducted. d. The study findings probably represent a type I error. It is doubtful that use of a rotating bed could produce significant findings with a convenience sample. e. The widespread use of the rotating bed has not been supported. f. Generalization is appropriate only extremely cautiously and in the same site in which the study was conducted, with tracking of subsequent data.
Which order should be considered to have the highest priority when delivering care to a patient?
a. Albuterol treatment for a patient complaining of shortness of breath b. IV diuretic for a patient in heart failure c. Sliding-scale short-acting insulin d. Antihypertensive for a patient admitted with negative cardiac enzymes