When delegating care, the RN assigns one nurse to care for a patient with shingles and a different nurse to care for a patient with human immunodeficiency virus/acquired immunodeficiency disease syndrome (HIV/AIDS)
This represents which category of nursing care?
a. Safe and effective care environment
b. Health promotion and maintenance
c. Psychosocial integrity
d. Teaching/learning
ANS: A
Correct: The nurse is safeguarding the patient with immunosuppression from the possible transmission of an infection.
Incorrect:
b. Health promotion and maintenance is focused on early detection and prevention of health-related problems.
c. Psychosocial integrity focuses on the emotional, mental, and social well-being of clients.
d. Teaching and learning are integrated processes that can be incorporated into the four categories of nursing care.
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The nurse is working with a family that has just delivered their third child, at 33 weeks' gestation. The mother tells the nurse, "This baby doesn't turn his head and suck like the older two children did
Why?" The best response by the nurse is: 1. "Every baby is different. This is just one variation of normal that we see on a regular basis." 2. "This baby might not have a rooting or sucking reflex because she is premature." 3. "When she is wide awake and alert, she will probably root and suck even if she is early." 4. "She may be too tired from the birthing process and need a couple days to recover."
The nurse is preparing a client for a renal scan. It will be necessary for the nurse to:
A) determine if the client has allergies to iodine. B) instruct the client to drink two to three glasses of water. C) keep client NPO for 8 hours prior to the procedure. D) medicate client with a mild tranquilizer.
The nurse is discussing a plan of treatment for a client with alcohol addiction who does not have insurance. In planning treatment for this client, the nurse would most likely refer the client to:
1. An inpatient treatment center. 2. A spiritual advisor. 3. A 12-step recovery program. 4. A nutritionist.
Which of the following drugs and drug categories can cause multiple fetal central nervous system (CNS), facial, and cardiovascular anomalies?
1. Category C: Zidovudine 2. Category B: Penicillin 3. Category X: Isotretinoin 4. Category A: Vitamin C