A client admitted to the hospital has a do-not-resuscitate (DNR) order in his medical record. The nurse understands that:
A. The DNR order may not be changed once it is in effect
B. The DNR order requires frequent review as specified by state or agency policy
C. The only people who may change the DNR order are members of the client's immediate family
D. The DNR order, as written on admission, must remain in effect for the duration of the client's hospitalization
Ans: B. The DNR order requires frequent review as specified by state or agency policy
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A female elder has left-sided paralysis from a thrombus formation in the cerebral vascu-lature. Rank the nursing goals of the elder's plan of care in order of importance, starting with the most important goal
a. Instruct her to call for help before moving. b. Maintain her blood pressure below 120/80. c. Reinforce occupational therapy for feeding. d. Use range of motion to prevent contractures.
When you apply theory learned in your medical-surgical nursing class in a caring manner to your patient, what kind of power do you use?
1. Expert power 2. Positive power 3. Referent power 4. Information power
A pregnant woman's mother is worried that her daughter is not "big enough" at 20 weeks. The nurse palpates and measures the fundal height at 20 cm, which is even with the woman's umbilicus
What should the nurse report to the woman and her mother? a. "The body of the uterus is at the belly button level, just where it should be at this time." b. "You're right. We'll inform the practitioner immediately." c. "When you come for next month's appointment, we'll check you again to make sure that the baby is growing." d. "Lightening has occurred, so the fundal height is lower than expected."
The nurse is obtaining a health history for a 45-year-old woman with Guillain-Barré syndrome (GBS). Which statement by the client does the nurse correlate with the client's diagnosis?
a. "My neighbor also had Guillain-Barré syndrome." b. "I had a viral infection about 2 weeks ago." c. "I am an artist and work with oil paints." d. "I have a history of a cardiac dysrhyth-mia."