The RN who is the team leader gives assignments to all the team members. How should the nurse base this decision?

A nurse cares for a client who had a colostomy placed in the ascending colon 2 weeks ago. The client states, "The stool in my pouch is still liquid." How should the nurse respond?

a. "The stool will always be liquid with this type of colostomy." b. "Eating additional fiber will bulk up your stool and decrease diarrhea." c. "Your stool will become firmer over the next couple of weeks." d. "This is abnormal. I will contact your health care provider."

When a nurse protects the information in a patient's record what ethical responsibility is the nurse fulfilling?

a. Privacy b. Disclosure c. Confidentiality d. Absolute secrecy

During a physical assessment, the nurse notes a patient has profuse secretions of sweat. What should the nurse document that the patient is experiencing?

a. Dyspnea b. Cyanosis c. Diaphoresis d. Ecchymosis

A client begins to smash furniture, cannot be "talked down," and refuses medications. Which is the most appropriate nursing intervention?

A. Call a violence code.B. Ask the ward clerk to put in a call for the physician.C. Place the client in seclusion.D. Place the client in four-point restraints.