The graduate nurse is working on a geriatric unit that includes caring for clients at the end of life. Which of the following behaviors by the nurse indicates a healthy response to the dying client and family?
1. Remaining out of the room to allow the client and family privacy
2. Attention to detail regarding pain and comfort measures for the client
3. Delegating physical care of the client to the LPN
4. Giving care without explaining procedures
2. Attention to detail regarding pain and comfort measures
Rationale:
The nurse who pays attention to the care of the dying client has most likely dealt with personal feelings and fears regarding death. The nurse in the other options demonstrates a fear and discomfort of the process of dying.
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The nurse is collecting data visually on a patient. Which of the following lighting environments will the nurse use to examine the patient's pupils?
a. Brightly lit room b. Slightly darkened room c. Natural lighting d. Completely darkened room
An older patient is not concerned about having a brain tumor because the only symptom has been a slight increase in forgetfulness and no headaches. The nurse realizes that this patient most likely:
1. Does not have a brain tumor because brain tumors are rarely present with cognitive changes 2. Does not have a tumor because forgetfulness is seen in children with a brain tumor 3. Could have a brain tumor even though a headache is not present 4. Has the beginnings of Alzheimer's disease
The nurses are discussing ethical issues in relation to nursing informatics. Which of the following ethical issues might develop as a result of nursing informatics? Select all that apply
1. The Medical Records Department employee informed one of his friends about a hospitalized client's address. The house was burglarized while the client was hospitalized. 2. The insurance company denied coverage to a client due to an undiagnosed pre-existing condition. The insurance company deduced that the client had diabetes mellitus after the client's glucose levels were consistently above 140 mg/dL during hospitalization. 3. A computer hacker stole information from the hospital's computerized billing system and used the information to obtain a credit card in a client's name. 4. The client's sister-in-law is an employee in the laboratory at the hospital, and discovered that the client had been admitted. The employee told the client's brother about the admission and specific laboratory results that indicated that the client was HIV-positive. 5. The information from the client's admission was used in research by the nurse manager to reduce the unit's average length of stay and increase quality of care.
A client has a long history of hypertension. The healthcare provider orders an antihypertensive drug that has just come on the market. The nurse teaches the patient that this drug works more effectively than his prior drug and has fewer side effects. The patient asks how this can be. What is the best response by the nurse?
A. "Newer drugs are altered to affect your cells' receptors in a different way." B. "Receptors tend to 'burn-out,' so newer drugs are required." C. "Research into receptors helps 'fine-tune' drugs to be more effective." D. "Changing the response of the drug to protein receptor-complexes produces fewer side effects." E. "It is a process of trial and error with receptors until the new drug proves effective."