A preoperative assessment shows that a client's hemoglobin level is dropping. The anesthetist orders 3 units of blood to be administered
The nurse administers the first unit before discovering that the client is a Jehovah's Witness, as documented in the record. This is an example of
a. professional conduct.
b. a negligent act.
c. physical abuse.
d. breaching client confidentiality.
ANS: B
The nurse was negligent by not checking the record and by failure to obtain written consent from the client for the procedure. This is an example of misconduct, not professional conduct. The nurse did not intend to physically harm the patient. The nurse did not breach client confidentiality.
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The unlicensed assistive personnel (UAP) brings the nurse the following vital signs for an older adult client:
Temperature 97.4 ºF (oral), BP 165/70, pulse rate 84/min., and respirations 28. After reviewing the vital signs, which action by the nurse is the most appropriate? 1. Continue to monitor the client. 2. Tell the UAP to recheck the temperature. 3. Obtain an order for an antihypertensive. 4. Obtain an order for oxygen therapy.
A client is scheduled for a Schilling test in the morning. What diagnostic results would be indicated if the test is positive? Select all that apply
A) Iron-deficiency anemia B) Pernicious anemia C) Macrocytic anemia D) Malabsorption syndromes E) A gastric ulcer
The nurse is working with a client experiencing migraine headaches. When discussing possible triggers, which of the following would the nurse be least likely to include?
1. Overeating 2. Food additives 3. Peanuts 4. Caffeine
What should you do for a conscious infant who is choking and cannot cough, cry or breathe?
a. Give abdominal thrusts. b. Give back blows and chest thrusts to clear the airway. c. Give back blows until the infant starts to cough. d. Open the infant's mouth and clear the airway