The nurse caring for a client with phlebitis at the old IV site assesses the site and finds that the site is painful and edematous, with no palpable cord extending one inch above the site
The nurse categorizes the site as which of the following on the phlebitis scale? 1. 1+
2. 2+
3. 3+
4. 4+
2
Rationale: Edema places this site above a 1+, and the lack of palpable cord indicates it is not a 3+, so the site is categorized as a 2+ on the phlebitis scale.
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A 15-year-old patient is hospitalized after a suicide attempt. The adolescent lives with his mother, stepfather, and several siblings. When performing a family assessment, the nurse must first determine
a. how the family expresses and manages emotion. b. the names and relationships of the patient's family members. c. the communication patterns between the patient and parents. d. the meaning the patient's suicide attempt has for family members.
A client refused to have a urinary catheter placed. The nurse insisted that the catheter be inserted and did so
The hospital attorney recommends that the lawsuit be settled as quickly as possible because the nurse is most likely going to be found guilty. What legal standard has been violated? A) Assault B) Battery C) Invasion of privacy D) False imprisonment
A nurse who is designing interventions and evaluating results of Healthy Municipalities and Cities should consider the
a. Influence of individual actions b. Acute care hospital services in the community c. Social results and endorsement of law makers for policy changes d. Effectiveness of health services including delivery of preventive services
A patient with a borderline personality disorder tells the nurse, "My doctor tells me there's something wrong with the hard wiring of my brain, and that's why I'm so impul-sive and get so many mood swings
He said he's going to prescribe some medication." Being aware of current practice guide-lines, the nurse will prepare a teaching plan for: a. Lithium (Lithobid) b. Fluoxetine (Prozac) c. Lorazepam (Ativan) d. Haloperidol (Haldol)