Which of the following roles of a nurse is an example of legitimate power?
A) Director of nursing C) Head nurse scheduling vacations
B) Team leader making assignments D) Shift supervisor
A
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The nurse is performing a pelvic examination on a client who is 20 weeks pregnant and notes a white, odorless discharge from the vagina. Based on this data, which action by the nurse is the most appropriate?
1. Ask the client about vaginal discomfort. 2. Inquire about recent sexual intercourse. 3. Obtain a culture of the discharge. 4. Document the findings as normal.
A patient, with a draining enterocutaneous fistula, is developing skin breakdown around the opening of the fistula. Which of the following should the nurse do to reduce this patient's risk of further skin injury?
1. consult an enterostomal nurse for wound and skin care 2. use gauze pads to wick the drainage away from the fistula opening 3. use an abdominal binder to secure gauze pads over the fistula opening 4. keep the wound open to air and permit the draining to air dry
The nurse is caring for a patient who has hypovolemic shock from hemorrhage. The nurse would expect to find which of the following clinical manifestations?
1. bradycardia, hypothermia 2. decreased capillary refill, tachycardia 3. tightness in throat and chest, anxiety 4. hypotension, lactic acidosis
Clients using a sulfonylurea drug need instruction regarding drug interactions that can increase the risk of hypoglycemia if they also use:
a. antimicrobial agents. b. acetaminophen. c. nonsteroidal anti-inflammatory agents (NSAIDs). d. caffeine.