The nurse and a mother of two small children are discussing child safety issues. Which of the following nursing interventions has the greatest potential for using collaboration to help ensure the children's safety?
1. Arranging to teach the children how to react in the case of a fire in the home
2. Teaching the children to telephone 911 if there is ever an emergency in the home
3. Helping the mother identify an emergency person for the children to telephone in the case of an emergency
4. Helping the mother create a list of emergency telephone numbers to be posted next to the home's telephone
ANS: 4
Clients need to learn how to identify and select resources within their community that enhance safety (e.g., neighborhood block homes, local police departments, and neighbors willing to check on a client's well-being).The remaining options deal with individual aspects of a complete plan.
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A patient with type 2 diabetes mellitus takes glipizide. The patient develops a urinary tract infection, and the prescriber orders TMP/SMZ. What will the nurse tell the patient?
a. Patients with diabetes have an increased risk of an allergic reaction. b. Patients taking TMP/SMZ may need in-creased doses of glipizide. c. The patient should check the blood glu-cose level more often while taking TMP/SMZ. d. The patient should stop taking the glipi-zide while taking the TMP/SMZ.
Discharge teaching for the client with electrolyte disturbances is aimed at:
1. Identifying the underlying problem and preventing a reoccurrence. 2. Teaching the client to manage the underlying problem. 3. Identifying the client's knowledge deficits and correcting misconceptions. 4. Review of the client's health problems.
After reviewing the laboratory test results, the nurse calls the health care provider about which client?
A. 44-year-old receiving warfarin (Coumadin) with an international normalized ratio (INR) of 3.0 B. 46-year-old with a fever and a white blood cell (WBC) count of 500/µl C. 49-year-old with hemophilia and a platelet count of 150,000/mm3 D. 52-year-old who has had a hemorrhage with a reticulocyte count of 0.8%
When providing care to patients, nurses make patient care decisions based on which of the fol-lowing? (Select all that apply.)
a. Resource availability b. Nurse practice act c. Shared governance d. Managerial leadership style e. Tradition f. Clinical circumstances