A 15-year-old football player is diagnosed with a bad sprain. A nurse recognizes that the injury involves

1. Torn ligaments.
2. A fine crack in the anklebone.
3. Injury to a long bone.
4. Damage to cartilage tissue.


ANS: 1

Nursing

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Which can the nurse safely delegate to the unlicensed assistive personnel (UAP)?

1. Initial assessment of pain 2. Regular reassessment of pain 3. Providing a massage and repositioning the client in pain 4. Administration of an oral analgesic

Nursing

Nursing students in which of the following entry-level nursing education programs can receive credit toward their course requirements for a baccalaureate degree in nursing?

1. Practical nurse (PN) to bachelor of science in nursing (BSN) program 2. Associate degree nurse (ADN) to BSN program 3. Diploma to BSN program 4. All of the above

Nursing

A 23-year-old white woman has come to the clinic because she has missed two menstrual periods. She states that her breasts have enlarged and that her nipples have turned a darker color. Your response to this finding is to:

a. instruct her that this is a side effect of birth control injection therapy. b. suggest pregnancy testing. c. question her use of tanning beds. d. schedule an appointment with a surgeon.

Nursing

The licensed practical/vocational nurse is caring for a client frequently admitted for constant stabbing pain in her lower back, rated 8 out of 10 on a pain scale. Diagnostic testing reveals no treatable back issues

The physician prescribes a placebo (a substance that has no therapeutic effect to comfort the client). The physician wants the nurse to administer normal saline in a syringe that will look like the narcotic because he does not believe the client's pain is real. The nurse believes this is an ethical dilemma because is it right or wrong to administer a placebo and lie to the client that it is the narcotic the client requested for her pain. The nurse believes that pain is what the client says it is. Which is the best action for the nurse to take? A) Administer the placebo, but don't say what it is, and if the client remains in pain within 15 minutes, and then administer the narcotic analgesic as ordered and report the findings to the physician B) Ignore the physician's order and continue to administer the narcotic analgesic as ordered previously C) Inform the physician that he has an issue with administering the placebo because he feels it is unethical and ask if it would be best served to refer the client to a chronic pain management clinic D) Inform the nursing supervisor of the physician's unethical behavior, and ask what to do in the situation

Nursing