The Joint Commission focuses on safety in health care. Which action by the nurse reflects The Joint Commission's main objective?
a. Performing range-of-motion exercises on the client three times each day
b. Ensuring that the client is eating 100% of the meals served to him or her
c. Assessing the client's respirations when administering opioids
d. Delegating to the nursing assistant to give the client a complete bath daily
C
It is important for the nurse to assess respirations of the client when administering opioids be-cause of the possibility of respiratory depression. The other interventions may or may not be necessary in the care of the client and do not focus on safety.
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A patient is in the critical care unit having undergone surgery a week ago for multiple fractures to the his right and left legs secondary to a fall from a rooftop
The patient refuses to participate in morning care activities such as brushing his own teeth or washing his face and hands. The patient yells at the nurse, "You do it! Can't you see that my legs are broken?" The patient is exhibiting a disturbance in a. self-concept. c. body image. b. self-esteem. d. personal identity.
A nurse is teaching basic "survival skills" to a patient newly diagnosed with type 1 diabetes. What topic should the nurse address?
A) Signs and symptoms of diabetic nephropathy B) Management of diabetic ketoacidosis C) Effects of surgery and pregnancy on blood sugar levels D) Recognition of hypoglycemia and hyperglycemia
The nurse is assessing a 25-year-old primigravida who is 20 weeks pregnant. Which vital signs finding should the nurse report immediately to the physician?
1. Pulse 88/min 2. Respirations 30/min 3. Blood pressure 134/82 4. Temperature 37.4°C (99.3°F)
A Muslim woman and her husband are seen in the health care clinic because the woman suspects that she is pregnant. When planning for the physical assessment of the woman, which should the nurse ensure?
A. A female health care provider examines the woman B. The woman's husband remains in the examining room at all times C. The woman is examined without any other people in the examining room D. Written permission is obtained from the woman to obtain subjective health data