What statement best describes a resident's rights for sexual expression?
a. Right to engage in sexual relationships with other residents
b. Right to express sexual feelings in socially appropriate ways
c. Right to use touch to express sexual feelings
d. Right to have access to opportunities for sexual expression
B
Sexuality and sexual expression are appropriate if they do not infringe on the rights of others. Responses A, C, and D may be appropriate statements if the rights of all residents and employees are considered.
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The patient, injured in an automobile accident, is being evaluated in the emergency department for possible head injury. Which test should not be done if there is an indication of increased intracranial pressure?
a. CT scan b. MRI scan c. Lumbar puncture d. Electroencephalogram
What is the priority nursing intervention for the client during the first 24 hours after a skin graft procedure?
A. Monitoring of vital signs for early detection of hemorrhage B. Monitoring of graft site to assess "take" of the newly grafted skin C. Repositioning the client every 2 hours to prevent pressure ulcer formation D. Performing passive range-of-motion exercises on the extremity with the new graft to prevent contracture development
Organizations retain accountability for delegation. Some examples of organizational accountability for delegation are listed below. Which is not necessarily correct?
a. policies that acknowledge an RN's right to delegation with limited participation of all nurses b. providing sufficient resources including staffing with appropriate staff mix c. providing opportunity for continuous staff development d. creating an environment conducive to teamwork, collaboration, and patient-centered care
Which of the following should the nurse instruct a client diagnosed with type 2 diabetes mellitus regarding vision care? (Select all that apply.)
1. Maintain good glucose control. 2. Stop smoking. 3. Limit exercise. 4. Reduce reading. 5. Frequently rest the eyes. 6. Rub eyes daily.