A client has an intra-arterial blood pressure monitoring line. The nurse notes bright red blood on the client's sheets. What action should the nurse perform first?
a. Assess the insertion site.
b. Change the client's sheets.
c. Put on a pair of gloves.
d. Assess blood pressure.
ANS: C
For the nurse's safety, he or she should put on a pair of gloves to prevent blood exposure. The other actions are appropriate as well, but first the nurse must don a pair of gloves.
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The nurse working in the Emergency Department admits a client whose left arm hangs lower than the right arm and who is reporting severe left shoulder pain. The nurse's care, until the client is seen by the physician, is aimed at:
1. Reducing anxiety. 2. Preventing movement of the right arm. 3. Preventing movement of the left arm. 4. Knowledge deficit.
A client diagnosed with post-traumatic stress disorder related to a rape is admitted to an inpatient psychiatric unit for evaluation and medication stabilization
Which therapeutic communication technique might a nurse use that is an example of "broad openings"? 1. "What occurred prior to the rape, and when did you go to the emergency department?" 2. "What would you like to talk about?" 3. "I notice you seem uncomfortable discussing this." 4. "How can we help you feel safe during your stay here?"
What are the ability to solve problems and to maintain self-confidence and the willingness to accept criticism incorporated in according to Maslow?
a. Safety and security b. Self-esteem c. Self-actualization d. Love and belonging
The Emergency Department staff decides to use a collective bargaining model for negotiation rather than a traditional trade union model. A traditional trade union model is characterized by:
a. Positional conflict. b. Management support of labor's initiatives. c. A spirit of trust between management and labor. d. An ability to resolve complaints.