The nurse is preparing a patient for amniocentesis. Which statement would indicate that the patient clearly understands the risks of an amniocentesis?
1. "I might go into labor early."
2. "It could produce a congenital defect in my baby."
3. "Actually, there are no real risks to this procedure."
4. "The test could stunt my baby's growth."
1
Rationale 1: Amniocentesis has the potential for causing preterm labor
Rationale 2: Congenital defects are the result of heredity or medications.
Rationale 3: Amniocentesis has potential complications such as infection or bleeding.
Rationale 4: Growth retardation most commonly is associated with heredity or poor nutrition.
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The nurse is appointed to a clinical-administrative task force studying critical staffing issues and care delivery models for the hospital
Which evidence on the effects of different staffing choices and care delivery models should the task force consider? Select all that apply. A) Higher nurse-client ratios have been linked to a decrease in the amount of time clients are hospitalized. B) Shared governance is linked to a reduction in adverse outcomes. C) A higher proportion of registered nurses can reduce the risk of mortality in surgical clients. D) Research indicates that functional assignment of staff improves the likelihood of meeting clients' emotional needs. E) There is little or no research studying nursing ratios and client outcomes.
The family of a dying patient wants to help relieve the patient's progressive dyspnea. What should the nurse instruct the family to do for the patient?
1. Lower the head of the bed. 2. Raise the head of the bed. 3. Suction the patient as much as possible. 4. Perform chest physiotherapy.
The nurse is caring for patients when a dirty bomb detonates at a nearby shopping mall. Which types of injuries should the nurse expect to see in the victims?
1. radiation sickness 2. fractured limbs and spinal injury 3. thermal burns 4. overexertion and exhaustion
Legally speaking, how would the nurse ensure that care was not negligent?
A) Verbally reporting assessments to the client's physician B) Keeping private notes about the care given to each assigned client C) Documenting the nursing actions in the client's record D) Tape recording complete information for each oncoming shift