A nurse supported the passage of needlestick legislation. Which of the following best describes the role of employers because of this legislation?
a. Use Universal Precautions when dealing with all patients
b. Select safer needle devices as they became available
c. Provide needle disposal boxes
d. Incinerate all infectious waste, including needles
ANS: B
Health care facilities by law have to select safer needle devices and involve employees in identi-fying and choosing the devices. The needlestick legislation did not address the use of Universal Precautions, provision of needle disposal boxes, or incineration of all infectious wastes.
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A community health nurse is faced with an ethical dilemma. Which question should the nurse ask first when deciding how to resolve the dilemma?
A) "What ethical principles should be given priority?" B) "What are the client's rights and duties?" C) "What are some alternative courses of action?" D) "What are the ethical principles involved here?"
After the nurse and nurse anesthetist transport a patient to the postanesthesia care unit, a detailed report about the patient and the surgical procedure is provided to the postanesthesia care unit nurse. This communication is considered:
1. Handoff communication. 2. Surgical timeout. 3. End-of-shift report. 4. Discharge summary.
At 7 AM, the nurse admits the client, who has a balanced fluid status. What is the client's fluid status at the end of the 7 AM to 3 PM period? Refer to the 24-hour intake and output record for the client
Oral IV Total Urine Ileostomy Surgical Drain Total 7 AM–3 PM 455 650 570 50 50 3-11 PM 390 550 435 150 25 11 PM–7 AM 200 400 280 90 15 24-hour total 1. Fluid volume deficit 2. Fluid volume excess 3. Excess intake 355 ml 4. Excess output 285 ml
A nurse caring for a patient admitted 2 days ago following a cerebral vascular accident notes that the patient is frequently coughing, has food falling from the mouth while eating, and frequently chokes
What would be the most pertinent nursing diagnosis for this patient? A) Impaired dentition B) Alteration in mobility C) Altered cerebral perfusion D) Impaired swallowing