Which is the priority nursing action when it is suspected that an infectious agent has been used as a weapon by terrorists?
1. Separating clients according to age
2. Initiating airborne and contacts precautions
3. Separating clients according to level of development
4. Disposing of blood-contaminated needles in the lead-lined container
2
Explanation:
1. Separating clients according to age will do nothing to stop terrorism.
2. When clients present with the same type of infectious symptoms, the priority nursing action is to initiate airborne and contact precautions prior to diagnosis.
3. Separating clients according to level of development will do nothing to stop terrorism.
4. Proper disposal of blood-contaminated needles in the sharps container is appropriate nursing actions but does not relate to terrorism.
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A gerontologic nurse has observed that patients often fail to adhere to a therapeutic regimen. What strategy should the nurse adopt to best assist an older adult in adhering to a therapeutic regimen involving wound care?
A) Demonstrate a dressing change and allow the patient to practice. B) Provide a detailed pamphlet on a dressing change. C) Verbally instruct the patient how to change a dressing and check for comprehension. D) Delegate the dressing change to a trusted family member.
A nurse is collaborating with the physical therapist to plan the care of a patient with osteomyelitis. What principle should guide the management of activity and mobility in this patient?
A) Stress on the weakened bone must be avoided. B) Increased heart rate enhances perfusion and bone healing. C) Bed rest results in improved outcomes in patients with osteomyelitis. D) Maintenance of baseline ADLs is the primary goal during osteomyelitis treatment.
A client who is known to be angry and impulsive is hospitalized after an automobile accident in
which he sustained severe orthopedic injuries. When in pain, he loudly berates nursing staff for "not knowing enough to give me my pain medicine when I need it.". The nursing diagnosis of "ineffective coping related to inappropriate methods for handling anger associated with delayed pain relief" is recorded. A nursing intervention designed to address this would be a. telling the client to notify nursing staff one half-hour before the pain returns so they can prepare his medication. b. telling the client his verbal assaults on nurses will do nothing to shorten his wait for as-needed medication. c. urging the physician to change the as-needed order for pain medication to every 4 hours. d. having the clinical nurse leader request a psychiatric consultation.
The committee working on the implementation plan for the clinical information system is finalizing a policy to address responsibilities when safeguarding sensitive information. Which ethical values should the committee emphasize in this policy? Select all that apply.
A) Justice B) Veracity C) Autonomy D) Beneficence E) Non-maleficence