A patient is in a persistent vegetative state. The patient has no immediate family and is a ward of the state. Under these circumstances, who will speak on her behalf?
A) Surrogate decision maker
B) Church-appointed guardian
C) A significant other
D) Her best friend
Ans: A
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While discussing the history of a 6-month-old infant, the mother tells the nurse that she took a significant amount of aspirin while she was pregnant. What question would the nurse want to include in the history?
a. "Does your baby seem to startle with loud noises?" b. "Has your baby had any surgeries on her ears?" c. "Have you noticed any drainage from her ears?" d. "How many ear infections has your baby had since birth?"
A nurse is caring for a woman who just experienced a cesarean birth under epidural anesthesia. What interventions are important to include on this woman's care plan? (Select all that apply.)
A. Apply compression stockings or sequential compression devices. B. Encourage ankle exercises while the woman remains in bed. C. Keep the woman NPO until she is allowed out of bed into a chair. D. Maintain bedrest until sensation returns to the woman's legs. E. Only allow the woman to hold her infant with supervision while in bed.
A male patient with a total hip replacement is progressing well and expects to be discharged tomorrow. On returning to bed after ambulating, he complains of severe pain in the surgical wound. Which action should the nurse take?
A) Assume he's anxious about discharge, and administer pain medication. B) Assess the surgical site and affected extremity. C) Reassure the patient that pain is a direct result of increased activity. D) Suspect a wound infection, and monitor the patient's temperature and vital signs.
In which position is the patient usually placed for a thoracentesis?
a. Dorsal recumbent position b. Supine with the arms over the head c. Sims' position on the affected side d. Sitting and leaning over a bedside table