Upon entering a patient's room, a nurse decides to check the patient's vital signs rather than delegate the task. Which of the following reasons would best justify the nurse's decision not to delegate the task?
1. The patient has just ambulated to the bathroom.
2. The nurse has a nagging concern that something is not right.
3. The patient is being discharged from the hospital.
4. The patient has a long history of hypertension.
ANS: 2
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The client is scheduled for surgery, and has a history of venous stasis problems. Which strategies would the nurse consider to reduce the risk of postoperative venous stasis?
Select all that apply. 1. Pneumatic compression device 2. Sequential compression device 3. Antiembolism stockings 4. Getting the client out of bed as soon as possible 5. Keeping the legs lower than the level of the heart
When instructing a client on the use of an incentive spirometer, the nurse should instruct the client to:
a. take a deep breath and hold it for 3 seconds, then put the mouthpiece in the mouth and blow out as hard as possible. b. put the mouthpiece in the mouth, take a deep breath and hold it for 3 seconds, then blow out into the mouthpiece. c. take a deep breath and hold it for 10 seconds, then put the mouthpiece in the mouth and exhale and inhale deeply. d. take a normal breath and exhale, then seal the lips tightly around the mouthpiece; take a slow, deep breath and hold it for 3 seconds; then remove the mouthpiece and exhale normally.
What is the purpose of the National Response Framework?
a. Create a new branch of government that deals with bioterrorism b. Establish a way for the Red Cross to carry out its mission c. Develop a nationwide all-hazards approach to domestic incident management d. Extend presidential power to act quickly upon weapons of mass destruction
A first-time father calls the pediatric nurse stating he is concerned that his 4-year-old daughter still wets the bed almost every night. He says he is feeling frustrated and he remembers that when he was 4, he was punished if he wet the bed
He tells the nurse he's not sure disciplining the child for this behavior is a good idea but he is concerned. Which of the following statements made by the nurse would be the most appropriate to say to this father? A) "Disciplining is not likely to be effective, but it may be necessary if the child keeps wetting the bed." B) "Bedwetting is not uncommon in young children. Try to calmly change the bed without showing your frustration." C) "Setting rules is a parent's job to help the child have acceptable social behavior, so take away a privilege each time she wets the bed." D) "Nightly bedwetting up to age 6 or 7 is developmentally typical, so you will need to practice patience with your daughter."