Which action addresses the primary cause of nursing focused legal litigation?
A) Address the anger expressed by the client and family
B) Personally maintain professional liability insurance
C) Always give the client's safety priority
D) Provide appropriate client education
A
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The nurse is caring for an older adult in the long-term care facility who has begun to display signs of anxiety and insomnia. What is the priority nursing action?
A) Assess the patient for physical problems. B) Call the provider and request an antianxiety drug order. C) Increase the patient's social time, encouraging interaction with others. D) Suggest the family visit more often to reduce the resident's stress level.
The nurse is providing care for a patient with a diagnosis of cirrhosis. Daily assessment of the patient's abdominal girth has revealed a gradual increase, and the nurse now wishes to assess for the presence of ascites using a fluid wave test
When conducting this assessment, the nurse should: A) Ask the patient to slowly move from one side-lying position to the other. B) Determine if motion is transmitted from one of the patient's flanks to the other. C) See if rebound tenderness is symmetrical between the patient's flanks. D) Determine if the patient's abdomen maintains its shape during deep palpation.
The student nurse is providing skilled care for a palliative care client. The client is bedbound, requiring skin care during bathing, oral care, and every 2 hours positioning
Which NCLEX-PN test category would the student anticipate finding questions related to this clinical care situation? A) Health promotion and maintenance B) Psychosocial integrity C) Physiologic integrity D) Safe and effective care environment
A clinic nurse is admitting a 16-year-old boy with complaints of itching and burning in his genital area. He tells you "I am sure I have an STI. This will be the third one in 3 months
" What intervention would be most appropriate with this patient? A) Provide samples of spermicides to patient B) Provide patient with educational material on testicular cancer C) Assess the patient's knowledge and understanding of safe sexual practices D) Teach the patient correct use of condom to prevent pregnancy