The nurse is caring for a patient who refuses two units of packed red blood cells. The nurse notifies the health care provider of the patient's decision. The nurse is acting in the role of the:

a. Manager.
b. Change agent.
c. Advocate.
d. Educator.


ANS: C
As the patient's advocate, the nurse interprets information and provides the necessary education. The nurse then accepts and respects the patient's decisions even if they are different from the nurse's own beliefs. The nurse supports the patient's wishes and communicates them to other health care providers. A nurse manages all of the activities and treatments for patients. A nurse manages all of the activities and treatments for patients. In the role of change agent, the nurse works with patients to address their health concerns and with staff members to address change in an organization or within a community. The nurse ensures that the patient receives sufficient information on which to base consent for care and related treatment. Education becomes a major focus of discharge planning so that patients will be prepared to handle their own needs at home.

Nursing

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The nurse is reviewing a client's medical record while planning care. Which data from the medical record is an example of objective data?

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A nurse is assigned to a patient who is taking lithium. Which of the following drug serum levels would indicate that the patient is at risk for adverse effects of the drug?

A) 0.3 mEq/L B) 0.6 mEq/L C) 1.7 mEq/L D) 1.2 mEq/L

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If a client's medical chart is used in a legal proceeding, which of the following represents an example of correct documentation under the standard of practice that the jury will be looking for?

a. Each chart entry should be signed or initialed. b. Administration of medications is documented before they are actually given. c. Nursing notes reflect facts and opinions about the client. d. Nursing notes are changed to reflect changes in client status.

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A public health nurse who directs a homecare program that serves an area with a large population of older adults is conducting a long-term strategic plan

Which of the following phenomena should the nurse take into account when planning for the future? A) While life expectancy will continue to rise, the percentage of older adults in the United States relative to the overall population will decrease. B) By 2020, it is expected that over one-third of Americans will be over the age of 65. C) Both life expectancy and the percentage of people over 65 in the population will increase in coming decades. D) Chronic conditions, such as diabetes, are expected to bring a gradual decrease in the number of older adults by 2020.

Nursing