A legal document that states a patient's health-related wishes—such as a preference for pain management if the patient becomes terminally ill—and also allows the patient's daughter to direct his or her care, is a(an)
A) Will
B) Standard of care
C) License
D) Advance directive
Ans: D
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A young infant is admitted to the hospital unit with physical injuries. The nurse is taking the child's history. The statement by the parent that would be most suspicious for abuse is:
1. "I was walking up the steps and slipped on the ice, falling while carrying my baby." 2. "The baby's 18-month-old brother was trying to pull the baby out of the crib and dropped the baby on the floor." 3. "I placed the baby in the infant swing. His six-year-old brother was running through the house and tripped over the swing, causing it to fall." 4. "I did not realize that my baby was able to roll over yet, and I was just gone a minute to check on dinner when the baby rolled off of the couch and onto our tile floor."
A patient has undergone a colon resection. While turning him, wound dehiscence with evisceration occurs. The nurse's first response is to:
A) Call the physician. B) Place saline-soaked sterile dressings on the wound. C) Take a blood pressure and pulse. D) Pull the dehiscence closed.
A patient presenting to the emergency room is experiencing atrial flutter. The initial management of atrial flutter in a stable patient with a narrow QRS and regular R-R interval is:
A) Rapid IV administration of adenosine 6 mg, followed by a 20-mL saline flush and elevation of the arm B) IV administration of a beta-blocker C) Rapid IV administration of adenosine 12 mg, repeating the drug administration if needed D) IV administration of magnesium
The nurse is caring for a client who is in the midst of a 24-hour urine collection for urinary nitrogen and would know which test will help determine if the client has an adequate intake of what nutrient?
A. Carbohydrates B. Fats C. Proteins D. Sugars