A nurse explains to a patient that an instructional directive means
1. A family member has been appointed as having power of attorney.
2. A patient's wishes must be followed in the event of a major illness.
3. There is a do-not-resuscitate (DNR) order for emergency personnel.
4. There are written guidelines specifying care desired and under what circumstances.
ANS: 4
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A child is in the emergency department following an overdose of acetaminophen (Tylenol). What medication does the nurse anticipate administering?
A. Activated charcoal B. N-acetylcysteine (NAC) C. Naloxone (Narcan) D. Syrup of ipecac
The nurse assesses the patient in traction frequently. What signs or symptoms would the nurse assess for when assessing for a DVT in a traction patient?
A) Increased warmth of the calf B) Decreased circumference of the calf C) Loss of sensation to the calf D) Pale-appearing calf
The nurse is caring for a client from another culture. Which action would demonstrate the first step of developing cultural competence?
a. Avoiding assuming that members of the same culture all share the same beliefs and values b. Developing an understanding of his or her own cultural heritage, feelings, and expe-riences c. Becoming bilingual to communicate ef-fectively with the population of clients served d. Developing an understanding of the reli-gious beliefs of clients served by the nurse
When auscultating the chest of a 75-year-old patient who recently experienced a myocardial infarction (MI), the nurse hears an S3 heart sound immediately following S2. Because of these findings, the nurse would assess for which other condition?
1. Heart failure 2. Extension of the MI 3. Renal failure 4. Liver failure