A nurse indicates that a urine sample is needed for screening in a case of DWI. What actions should be implemented? (Select all that apply.)
a. Collection and witnessing by a staff member of the same gender
b. Documented with a chain-of-custody form signed by all who handle the specimen
c. Keep specimen under secure conditions if temporary storage is necessary
d. Never be out of sight until someone from law enforcement takes it
e. Place in a specially marked container
A, B, C
The specimen, if placed in secure storage, does not have to be in sight nor does it need a specially marked container.
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A teenage female has been admitted for complications resulting from bulimia nervosa. She has abused laxatives for many years and has been self-inducing vomiting since the age of 9
The nurse's admission assessment should pay close attention to which of the following complications that can arise from this disorder? Select all that apply. Assess for A) dry, cracked lips and poor skin turgor. B) missing tooth enamel and increased number of dental cavities. C) painful swallowing and stomach cramping related to reflux and esophagitis. D) fruity breath and labored, deep, gasping respirations. E) jaundice of the skin and eyes.
The parents of a newborn who is being treated for bacterial septicemia ask the nurse why their baby didn't seem very ill. The nurse's best response would be:
1. "A newborn's immune system isn't mature, so symptoms are vague." 2. "You would have seen more symptoms if you were looking closely." 3. "A fever will be present in sick newborns, including your baby." 4. "A mother's immunity usually protects the infant from illness."
A client recovering from total hip replacement surgery is experiencing pain exacerbated with movement and tells the nurse, "I have no idea how I can return home since I live alone.". The client's BMI is 35
Which of the following nursing diagnoses would be a priority for this client? 1. Ineffective Coping 2. Pain 3. Imbalanced Nutrition: More than Body Requirements 4. Impaired Physical Mobility
Select the best comment for a nurse to begin an interview with an elderly patient
a. "I am a nurse. Are you familiar with what nurses do?" b. "Hello. I am going to ask you some questions to get to know you better." c. "You look comfortable and ready to participate in an admission interview. Shall we get started?" d. "Hello. My name is _______ and I am a nurse. How you would like to be addressed by staff?"