While providing care for a patient with skeletal traction to the right leg, a nurse would report which of the following observations to the physician?
1. The patient turns toward the right to answer the phone.
2. Traction weights hang freely.
3. Traction ropes are not crossing.
4. Purulent drainage is noted at the pin site.
ANS: 4
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A faculty member explains to students that one concern of the American Nurses Association's 1965 position statement designating the baccalaureate degree (BSN) as the educational entry point for nursing is that
a. diploma programs remain the most popular educational program for nurses. b. it is difficult to monitor other programs for congruency with BSN programs. c. multiple educational paths create confusion for the public and the profession. d. some states are creating different licensure exams for different pathways.
Which client statement demonstrates positive progress toward recovery from a substance use disorder?
1. "I have completed detox and therefore am in control of my drug use." 2. "I will faithfully attend Narcotic Anonymous (NA) when I can't control my cravings." 3. "As a church deacon, my focus will now be on spiritual renewal." 4. "Taking those pills got out of control. It cost me my job, marriage, and children."
During assessment, the client frequently refers to her Native American heritage. The nurse assesses that this heritage is a strong part of which of the following?
A) Client's self-esteem B) Client's role performance C) Client's personal identity D) Client's body image
The nurse suspects that the client has a hearing disorder; however, the client denies not being able to hear. What initial action should the nurse take to assess the client's hearing?
1. Schedule a Weber and Rinne test 2. Observe the client's interaction with family 3. Use an otoscope to visualize the inner ear 4. Confront the client with the suspicion