The nurse is implementing a set of standing orders for a client's care. Standing orders are:
a. independent nursing orders.
b. a collaborative nursing order.
c. a standardized intervention written and approved by a physician for a common predictable situation.
d. a document that provides the rationale for nursing interventions in a specific situation.
ANS: C
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The nurse is participating in a community education program. When should the nurse explain that premenopausal women should perform breast self-examination (BSE)?
1. During ovulation 2. Shortly after the menstrual period 3. During the menstrual period 4. Just before the menstrual period
A client is receiving treatment for a head injury. Which of the following would the nurse do related to positioning to reduce the risk of further injury?
A) Maintain the client in a sitting position for as long as possible. B) Elevate the rest of the client's body slightly above the neck and head. C) Position the neck and head in line with the rest of the client's body. D) Elevate the client's head slightly while keeping the neck neutral.
To prepare a woman for a contraction stress test using nipple stimulation, an appropriate instruction would be to:
a. Massage both breasts simultaneously. b. Roll the nipple between the thumb and fingers. c. Continually stimulate the breasts throughout the test. d. Brush your palm across the nipple of one breast for 2 to 3 minutes.
Which of the following examples of nursing practice are likely to be components of a forensic nurse's scope of practice? (Select all that apply.)
A) A nurse testifies in court about the biopsychosocial effects of abuse. B) A nurse drafts clinical practice guidelines for the management of withdrawal from narcotics. C) A nurse teaches youth how to prevent accidents and head injuries. D) A nurse provides care for a woman who is a victim of an assault. E) A nurse assesses a patient who is alleged to have struck a pedestrian while drinking and driving.