When caring for a client with the nursing diagnosis of Falls, risk for, a priority of nursing care to reduce a successful charge of negligence should the client fall would include which of the following?
1. A friendly relationship with the injured client
2. Documentation demonstrating the standard of care was followed
3. The client recovers fully from the injuries without lasting harm.
4. Promptly informing the family of the client's fall and condition
2
Rationale 1: One of the best means of avoiding legal action is through proper documentation of care and strict adherence to facility policies and standards of care. The other options might not impact the decision to pursue a lawsuit.
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While the nurse is performing an assessment of a male client, gynecomastia is noted. The nurse is aware that this condition is most frequently associated with: Standard Text: Select all that apply
1. cancer of the breast in male clients. 2. infants following birth. 3. the onset of puberty. 4. older males that have undergone hormonal treatment. 5. infection of breast tissue.
The nurse is planning care for four infants who were born on this shift. Which infant will require the most detailed assessment? The infant whose mother:
1. Has a history of obsessive-compulsive disorder (OCD). 2. Has Chlamydia. 3. Has delivered six other children by cesarean section. 4. Has a urinary tract infection (UTI).
The chemicals that promote the spread of pain locally include:
1. Serotonin 2. Norepinephrine 3. Enkephalin 4. Neurokinin A
The nurse is caring for a patient who is receiving fluorouracil (5-FU) to treat pancreatic cancer. Which interventions are included in the nurse's plan of care for this patient? (Select all that apply.)
a. Apply ice to the IV site if the patient reports pain. b. Administer antiemetics when the patient reports nausea. c. Counsel the patient to use waxed dental floss. d. Discourage visits with people who have respiratory infections. e. Offer ice chips frequently. f. Restrict to nothing by mouth during intravenous drug administration.