What is a nurse's highest priority when providing client care?
a. adhering to facility policy and procedure
b. ensuring client confidentiality
c. maintaining a safe environment
d. providing clinically competent client care
C
A nurse's highest priority when providing client care is to maintain a safe environment. The ways in which nurses can promote a safe environment in a health care setting include properly identifying clients; increasing clients' awareness of safety precautions; instituting strategies to prevent falls; reducing bathroom hazards; preventing fires, poisoning, choking, suffocation, and drowning; checking equipment safety; and reducing noise pollution and exposure to radiation.
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The patient has been diagnosed with severe aortic valve stenosis. Considering the most common symptoms caused by aortic valve stenosis, what is the most important nursing intervention?
A) Document characteristics of the aortic stenosis murmur. B) Teach patient to rise slowly from a supine position. C) Assess peripheral circulation more frequently. D) Assess for and document pulmonary adventitious sounds.
An older patient receiving a low dose of oral morphine for chronic pain feels sleepy when taking the medication. What should the nurse explain to the patient about this analgesic?
1. "Lowering the dose may reduce these feelings." 2. "Unfortunately you will need to change medications." 3. "Feeling sleepy is an unfortunate problem with morphine." 4. "Once you develop a tolerance to the medications, this will improve."
A father reports that his adolescent daughter has gotten good grades up until the last quarter of school. She has been hanging out by herself and does not want to talk to him anymore. The mental health nurse should:
1. Realize that this is a natural part of growing up. 2. Perform a mental health screening to check for depression. 3. Attempt to get the adolescent to discuss why she does not like her father anymore. 4. Let the adolescent talk when she is ready.
A woman complains that her partner threatens her and berates her in front of the children. She denies being in an abusive relationship or being the victim of physical violence. What action by the nurse is best?
a. Tell the woman to leave the abusive partner. b. Educate the woman on forms of domestic abuse. c. Help the woman work on a physical safety plan. d. Insist the woman take written information.