The nurse is caring for a postoperative client following an anterior colporrhaphy. What action can be delegated to the unlicensed assistive personnel (UAP)?
a. Reviewing the hematocrit and hemoglobin results
b. Teaching the client to avoid lifting her 4-year-old grandson
c. Assessing the level of pain and any drainage
d. Drawing a shallow hot bath for comfort measures
ANS: D
The UAP is able to provide comfort through a bath. The registered nurse should review any laboratory results, complete any teaching, and assess pain and discharge.
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A client undergoing outpatient chemotherapy for cancer treatment expresses concern about being kept alive on life support. The nurse should suggest that the client contact a lawyer to:
1. Prepare for assisted suicide. 2. Prepare advance directives and a living will. 3. Meet with her family to decide what would be best for her. 4. Discuss disposal of her assets.
A client with a history of deep venous thrombosis (DVT) is seen in the clinic. Since the client is planning a long airplane flight, the nurse should instruct the client to:
1. Do deep-breathing exercises every hour while awake. 2. Keep the lower extremities elevated as much as possible during the flight. 3. Restrict intake of fluids during the flight. 4. Perform isometric exercises of the lower extremities every 2 hours.
A patient is admitted to the emergency department with a blood alcohol level of 0.45%. The nurse should immediately prepare to administer which intervention?
a. CPR b. Intravenous fluids c. Respiratory support d. Naloxone (Narcan)
The nurse researcher's use of a focus group interview with audio recording of group interactions would be considered to be an observational role of what?
a. Concealment with intervention b. Concealment without intervention c. No concealment with intervention d. No concealment without intervention