The four universal concepts that are central to nursing practice are:
a. person, nurse, health, and environment.
b. person, physician, health, and environment.
c. person, nurse, health, and culture.
d. person, nurse, environment, and culture.
A
Person, nurse, health, and environment are the four universal concepts central to nursing practice. The physician and culture are not considered to be among the four universal concepts.
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A client has been brought to the emergency department (ED) by a family member. The client is speaking incoherently. To obtain information about the client's current health status, what should the nurse do?
1. Call the client's healthcare provider. 2. Call the Medical Records department to obtain other records for the client. 3. Discuss the situation with the family member who brought the client to the hospital. 4. Conduct a thorough physical assessment and document the health history as "unable to obtain."
The nurse caring for a patient on the telemetry floor who is experiencing symptomatic sinus bradycardia is aware the medication of choice for treatment of this dysrhythmia is atropine. What guidelines will the nurse following when administering atropine?
A) Administer atropine 0.5 mg rapidly as an IV bolus every 3 to 5 minutes to a maximum total dose of 3 mg. B) Administer atropine 0.5 mg slowly as an IV bolus every minute to a maximum total dose of 3 mg. C) Administer atropine 1.0 mg rapidly as an IV bolus every 3 to 5 minutes to a maximum total dose of 3 mg. D) Administer atropine 1.0 mg slowly as an IV bolus every minute to a maximum total dose of 3 mg.
While suctioning a client who had a tracheostomy placed 4 days ago, the nurse notes particles of food in the tracheal secretions. Which action by the nurse is most appropriate?
a. Increase the inflation pressure in the tracheostomy cuff. b. Add blue dye to a beverage to assess for aspiration. c. Make the client NPO and notify the health care provider. d. Perform a more thorough assessment of the client.
When assisting a child to learn to express personal feelings verbally without hurting a playmate's feeling, the nurse encourages the child to first:
a. play with imaginary friends. b. play the role of the other child. c. avoid competitive games like baseball. d. use nonverbal mannerisms like frowning.