A nurse is aware that the principle of autonomy is being applied in which situation?
a. The family is discussing care with the physician.
b. A hospice consult is ordered by the nurse.
c. An order for an antibiotic is being written in the chart.
d. The client has decided to stop chemotherapy treatments.
Answer: d. The client has decided to stop chemotherapy treatments.
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The nurse is caring for a client with a newly implanted permanent pacemaker who asks, "How do I change the battery?" What information will the nurse supply this client in answer to the question?
1. The battery generally lasts for 20 years or longer but will need to be surgically replaced when it wears out. 2. The battery is located in a small box the client can hang on your belt. 3. The battery doesn't need to be changed because it will last forever. 4. There is a small cord the client connects to the pacemaker and that plugs into the wall.
What is the hospitalized patient's place in evidence-based practice? (Select all that apply.)
a. The patient is the recipient of the total of formal research evidence and the nurse's practice wisdom, and these represent the patient's care plan. b. The patient brings values to the clinical encounter, which the nurse considers in providing evidence-based care. c. The patient provides a valuable source of knowledge, since each patient cared for contributes to the nurse's total practice wisdom. d. The patient is the focus of research. The patient serves both as a recipient of evidence-based research and the subject of future evidence, based on data collected now from the patient. e. The patient may always refuse to participate—in evidence-based care, in therapies, in research participation—and this refusal must be honored.
A client's insulin is administered at 7:00 AM daily. The client is to receive regular and NPH (Humulin N) insulins. The nurse is teaching the client how to prepare the syringe before injection
In preparing the syringe, the client should be taught to: a. withdraw each medication in a separate syringe. b. draw up regular insulin first. c. draw up NPH insulin first. d. recognize that order of medication withdrawal is not a priority.
The nurse is caring for a patient in preadmission testing. The patient has been assigned a physical status classification by the American Society of Anesthesiologists of ASA III. Which assessment will support this classification?
a. Normal, healthy patient b. Denial of any major illnesses or conditions c. Poorly controlled hypertension with implanted pacemaker d. Moribund patient not expected to survive without the operation