A nurse is caring for a client who has been admitted to the hospital. Which of the following services is a priority for a nurse in the acute hospital setting?
A) Helping clients with rehabilitation after a stroke
B) Working closely with the client's caregivers
C) Helping clients to achieve maximum level of functioning
D) Working to stabilize the client during the acute phase of illness
D
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In a hospital setting, the nurse works to stabilize the person during the acute phase of illness. Hospitals are healthcare facilities that deal almost exclusively with cases of acute injury or illness. Nurses working in extended-care facilities and assisted living services help clients in recovering after an acute illness, work closely with the client's caregivers, and aid clients to achieve a maximum level of functioning.
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A patient is admitted to the ICU with a C5–C6 subluxation fracture. He is able to move his legs better than he can move his arms. Which of the following statements is true about his spinal cord injury?
a. He is likely to be in supraventricular tachycardia. b. Hyperthermia is common in patients with spinal cord injury. c. These patients do not usually require mechanical ventilation. d. The patient has a central cord syndrome.
When the nurse sees that an IV vesicant cancer drug has extravasated, the nurse should (select all that apply):
1. place a warm compress on the area. 2. chill the area with an ice pack. 3. raise the patient's arm above the level of the heart. 4. stop the infusion. 5. notify the charge nurse.
The nurse who bases client care actions on the principle of "greatest good" is implementing which ethical theory?
1. Teleology 2. Deontology 3. Utilitarian 4. Justice
Peter Gates is a nurse who works in a rural clinic in Southern California. Recently Peter saw Mr. Garcia, a 45-year-old native of Mexico. Mr. Garcia complained of abdominal pain that he feels is a punishment from God (castigo)
for an extramarital affair. The best response that Peter could make would be to: 1. Accept Mr. Garcia's beliefs, but explain that he needs further examination and evaluation. 2. Ask whether Mr. Garcia wants to see a priest or chaplain. 3. Disregard Mr. Garcia's beliefs and discuss medical conditions that can cause stomach pain. 4. Encourage Mr. Garcia to see an appropriate folk healer (curandero) to manage the pain.