Upon admission, the nurse notes that a patient has a billfold filled with cash. Because there is no family member present, the nurse suggests that the money be:
a. placed in a sealed envelope in the bedside table.
b. given to hospital security.
c. locked in the narcotic cupboard.
d. placed in the hospital safe.
D
Valuables should be locked in the hospital safe.
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Patients with spinal cord injury may experience both spinal shock and neurogenic shock, and differentiating between the two is essential. What symptoms are unique to neurogenic shock?
A) Loss of motor and sensory function B) Flaccid paralysis below the lesion C) Presence of poikilothermia D) Hypotension and bradycardia
A nurse manager is working with staff nurses regarding the types and frequency of documentation required for clients being cared for in long-term care facilities
Which laws contribute to the specific documentation required for client's in long-term care facilities? Select all that apply. A) Kardex B) Omnibus Budget Reconciliation Act (OBRA) C) Health Care Financing Administration Act D) Minimum Data Set (MDS) E) Charting by exception (CBE)
A 17-year-old primigravida has gained 4 pounds since her last prenatal visit. Her blood pressure is 140/92 mm Hg. The most important nursing action is to:
a. advise her to cut down on fast foods that are high in fat. b. caution her to avoid salty foods and to return in 2 weeks. c. assess weight gain, location of edema, and urine for protein. d. recommend she stay home from school for a few days to reduce stress.
A patient required pupil dilation with a mydriatic drug. The nurse would provide which discharge instruction?
1. "You may notice periods of blurry vision for several days." 2. "Wear sunglasses while you are outside." 3. "Do not drive until this drug wears off." 4. "Do not eat for at least 8 hours." 5. "Check the size of your pupils at least every hour until they have normal size."