The nurse is assessing a client for a cardiac thrill. To best assess this thrill, the nurse should do which of the following?
1. Use the ulnar surface of the hand.
2. Use the dorsal aspect of the hand.
3. Use the fingertips.
4. Use a stethoscope.
1
The ulnar surface of the hand is best for assessing vibrations which would be used to assess for a cardiac thrill. The dorsal aspect of the hand is best for assessing temperature. The fingertips are best for assessing fine sensation. A stethoscope is not used to assess for a cardiac thrill.
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The hiring process to fill a nursing position has been slowed because the human resources department is involved in a recruitment effort for laboratory positions
A staff nurse says, "Why do we have to wait on HR? Why can't we just hire a nurse?" What rationale does the nurse manager provide for waiting until HR can be involved in filing the nursing position? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "HR makes all the final hiring decisions. I just suggest the candidate I would like to have to fill the job." 2. "HR will screen the applicants for us so we don't waste time interviewing people who are not qualified." 3. "HR makes certain that we are not doing anything illegal as we interview for this position." 4. "We can't hire a nurse until HR has done a criminal background check." 5. "HR has to check to be certain that the applicant has a valid license before we can offer the job."
Implementing planned nursing interventions begins with
a. assessment c. implementation b. planning d. evaluation
The nurse manager determines that a staff nurse demonstrates understanding of the professional responsibility to advocate for a client's health, safety, and rights. What did the manager observe to come to this conclusion about the staff nurse?
1. Reporting a medication error that he was responsible for making 2. Notifying the unit manager that a nurse is showing signs of being under the influence of alcohol 3. Being sure the computer screen is not visible to visitors when charting 4. Asking the client to explain in her own words the purpose of the research project she asked to act in as a participant 5. Calling the health care provider to clarify a confusing prescription for a client's pain
Which intervention will assist the client in mastering the care of a temporary colostomy?
A) Verbalizing instructions on the principles of appropriate cleaning and maintenance of the stoma B) Providing the client ample opportunities to observe the nurse performing the necessary care tasks C) Being available to support the client when he/she is providing their personal stoma care D) Frequently evaluating the client's ability to provide self care of their stoma