The nurse reviews a nursing order for a patient who is 4 days post-operative after hip surgery. It reads: Assist patient in bathing each morning
The nurse assesses the patient and notes that the patient is independent in bathing. What should the nurse do next?
a. Assist with the bath as ordered
b. Delegate the bath to the nursing assistant
c. Discontinue the nursing order on the plan of care
d. Collaborate with the nurse who originally wrote the order
ANS: C
You might also like to view...
A baby is admitted with a long-bone fracture. What nursing actions are appropriate in the care of this baby? (Select all that apply.)
A. Elevation of the extremity B. Frequent neurovascular checks C. Heat therapy to reduce muscle spasm D. Immobilization while healing E. Traction at 0.1 kg per 1 kg/baby's weight
A plaintiff's attorney decides to use the doctrine of res ipsa loquitor in a case against the urologist who perforated a patient's urethra during a cystoscopy. What must the plaintiff prove? Select all possible correct answers
1. This complication does not generally occur unless someone provided negligent care. 2. Several agencies, from the manufacturer to the physician, were involved in the negligence. 3. The plaintiff had no control over the development of the perforation. 4. The locality rule was in effect at the time of the procedure. 5. The event causing the perforation was deliberate.
The nurse working in an obstetric clinic receives a phone call from a pregnant woman who says, "Maybe I'm just being overly protective, but I feel like there is something wrong with the baby, but I don't know what it is
" The nurse's priority action would be to: A) reassure the woman, and tell her that her pregnancy is progressing normally. B) schedule an appointment for the woman to be seen today. C) instruct the woman to keep her normal appointment in two weeks so she can be reassured by listening to fetal heart tones. D) tell the woman to call 911.
A client with moderate Alzheimer's disease is living with her grown daughter. Which of the following statements by the daughter indicates the need for intervention by the nurse?
A) "It's distressing when my mother forgets my name." B) "I wish my sister would come to visit more often." C) "Mother won't let anyone else do anything for her." D) "Taking care of my mother is a big responsibility."