A nurse who is palpating the lymph nodes in the anterior and posterior cervical chains places the pads of the fingers:
a. In front of the ear.
b. Under the mandible.
c. On either side of the sternocleidomastoid muscle.
d. Along the angle of the jaw.
ANS: C
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A nurse manager on the OB unit is auditing patient charts. One record documents the care of a patient having a seizure. The record describes the time and length of the seizure, medications given, maternal and fetal vital signs, and outcome of treatment
Which action by the manager is best? A. Compare the chart with charts of similar patients. B. Educate the staff on better documentation practices. C. Have the nurse rewrite the documentation. D. No action is needed; continue with chart audits.
The nurse charts only additional treatments done, changes in patient condition, and new concerns. What is this system of documentation?
a. SOAP b. Block c. CBE d. Focus
The American Nurses Credential Center Magnet Recognition Program supports many actions to ensure that nurses are engaged and empowered to participate in ethical decision making
Which of the following would assist nurses in being involved in research studies? a. Education on protection of human subjects b. Participation of staff nurses on ethics committees c. Written descriptions of how nurses participate in ethics programs d. Written policies and procedures related to response to ethical issues
The nurse is caring for a patient who has been on bed rest for several weeks. The nurse notes that the patient is continually seeping liquid stool rectally. The nurse should take which action?
a. Hold the patient's antibiotics. b. Put the patient on a bran diet. c. Perform a digital rectal examination. d. Increase the dosage of the patient's antibiotics.