For which respiratory assessment test or procedure should you check to determine whether an informed consent signature has been obtained from the client before the test/procedure?
A. Measurement of oxygen saturation before and after a 12-minute walk
B. Spiral computed tomography of the thorax
C. Ventilation and perfusion scanning
D. Thoracentesis
D
A thoracentesis is an invasive procedure with many potentially serious complications. The other assessment tests or procedures listed are considered noninvasive.
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The daughter of a client, who is at the end of life, is concerned that the gurgling sound she hears is her father drowning in his own secretions. What is the best initial response by the nurse?
A) "This must be very upsetting to watch, but he isn't suffering." B) "It might be best if you leave the room." C) "You may not be giving him enough fluid." D) "I'll suction him now."
A nurse is caring for a patient with chronic pain. Which statement by the nurse indicates an understanding of pain management?
a. "This patient says the pain is a 5 but is not acting like it. I am not going to give any pain medication." b. "I need to reassess the patient's pain 1 hour after administering oral pain medication." c. "It wasn't time for the patient's medication, so when it was requested, I gave a placebo." d. "The patient is sleeping, so I pushed the PCA button."
Which behaviors would indicate that a therapeutic activity program for a patient with Alzheimer's disease had been successful?
a. Accurate recent memory, positive emotional response, and increased verbal ex-pression b. Increased attention span, verbal expression of remote memory, and positive emo-tional response c. Positive use of perseveration, reduction in use of habitual skills, and improved abstract reasoning d. Positive emotional response, ability to remember multiple steps, and accurate re-cent memory
New technology used in health care has had which of these effects on nurses' use of the ethical decision-making process?
a. Nurses have fewer ethical decisions because computers now make many decisions. b. Nurses can postpone ethical decisions because technology allows patients to live longer. c. Ethical dilemmas have become more complex owing to technologies that prolong life. d. Ethical situations remain similar to what they have always been in health care.