The nurse has been working with a client who has asked to receive the results of genetic testing. What will the nurse do before discussing the results with the client?
a. Obtain a signed and witnessed informed consent form and place it on the client's chart.
b. Assess the client's ability to communicate clearly with the nurse and other personnel.
c. Reassure the client that it is not necessary to inform other family members of the test results.
d. Encourage the client to agree to undergo several sessions of further counseling.
B
The nurse has to assess the client's ability to receive and process information before giving re-sults. Informed consent forms are obtained before blood is obtained for testing. The nurse would not reassure the client that it was not necessary to tell family members. This is something the client will need to decide. The nurse can suggest counseling, if necessary, but does not have to encourage the client to have counseling before giving him or her the results of testing.
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The nurse cares for an older man who has a malignant melanoma. Which intervention should the nurse implement for this man to prevent a recurrence or advancement of this condition in the fu-ture?
a. Place posters about sunscreen in the halls of his apartment building. b. Promote the application of a sunscreen at his neighborhood health fair. c. Tell him to schedule all outdoor activities after 4 PM daily. d. Instruct him to wear sun-protective cloth-ing and a hat at all times.
A nurse manager wishes to use a model of job performance to help match employees and tasks to achieve the greatest effectiveness. What should the manager do first?
1. Evaluate each employee's educational and experiential background. 2. Establish, in writing, the expectations of each task. 3. Consider how much variation from standard is acceptable. 4. Review unit statistics for incidents, errors, and accidents.
The nurse is checking the residual content for a client who is receiving intermittent feedings. Which residual content, if obtained, would lead the nurse to delay the feeding?
A) 30 mL B) 60 mL C) 90 mL D) 120 mL
Which solution would be the most appropriate initial volume replacement for a patient with severe GI bleeding?
1. 200 mL of normal saline (NS) per hour for 5 hours 2. A liter of Ringer's lactate (RL) over 15 minutes 3. Two liters of D5W over half an hour 4. 500 mL of 0.45% normal saline (1/2 NS) over half an hour