You are caring for a client who experiences the protrusion of an internal organ (bowel loop) through an incision. You should do which of the following first?
1. This is an emergency. Contact the physician immediately.
2. Cover the protruding intestine with a sterile dressing moistened with sterile normal saline solution to help prevent wound contamination, and keep the abdominal contents moist.
3. Monitor the client closely and assess vital signs and pulse oximetry readings. If the client goes into shock, contact the physician.
4. Provide emotional support to the client, because the event is extremely frightening.
ANS: 1
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Lindsay is a nursing student who is preparing to perform morning hygiene for Mrs. Chen, a resident of a long-term care facility who has a significant vision impairment. Before beginning to wash Mrs. Chen, Lindsay should
A) give Mrs. Chen a chance to feel the cloths and towel that will be used. B) explain who she is and what she is going to do. C) clearly and loudly ask Mrs. Chen if she would like a wash. D) assess Mrs. Chen's orientation and cognition.
What areas does the nurse explore with the patient when using patient-level ethics? (Select all that apply.)
a. External factors b. Medical indications c. Previous health history d. Patient preferences e. Quality of life
Community-oriented nursing is an ethical endeavor with moral leadership at its core. The core functions are which of the following? Select all that apply
1. Competency: the persons assigned to develop community knowledge are prepared to collect data on groups and populations 2. Moral character: the persons selected to develop, assess, and disseminate com-munity knowledge possess integrity 3. Feminist theory: a conceptual background on which community-centered care should be based 4. "Do no harm": dissemination of appropriate information about groups and popu-lations is morally necessary and sufficient
Select the most therapeutic manner for a nurse working with a patient beginning treatment for alcohol addiction
a. Empathetic, supportive b. Skeptical, guarded c. Cool, distant d. Confrontational