The nurse is making assignments for the team. There are 2 LPNs and a nursing assistant on the team. Which of the following assignments would the nurse choose for themself?
a. A patient who had a cerebrovascular ac-cident (CVA) with left-sided paralysis who will need help with bathing
b. A patient with a chest tube who is ambu-lating in the hall
c. A patient receiving chemotherapy for bone cancer
d. A patient receiving tube feedings with a J-tube
C
The patient with the highest acuity would be the patient receiving chemotherapy for bone cancer. The nurse would be managing delivery of chemotherapy drugs and pain control with narcotics as ordered. The other patients are within the scope of care for the LVN and the nursing assistant.
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A Hispanic man employed as a sales representative goes into a local department store to pick up a gift for his wife. As he walks around the store, the security guard appraises the man's race, comes up to him, and says,
"You need to leave the store because of your suspicious behavior." This is an example of A) Cultural isolation B) Dislocation C) Prejudice D) Discrimination
A nurse is caring for a 35-year-old female patient who recently started taking antidepressants after repeated attempts at fertility treatment. The patient tells the nurse, "I feel happier, but my sex drive is gone."
Which nursing diagnosis has the highest priority? a. Sexual dysfunction b. Ineffective coping c. Risk for self-directed violence d. Deficient knowledge about contraception
A nurse is developing an educational program about SIDS for a new mothers support group in the community. Which of the following information would be included in this presentation?
a. Parents are encouraged to place their infants in the supine sleeping position. b. SIDS is the leading cause of death among infants age 6 months to 1 year old. c. SIDS is associated with infants who have had difficulty sleeping at night. d. Parents are encouraged to limit the amount of tummy time of their infant.
The long-term facility nurse is aware that the anxious female resident can frequently be calmed by:
a. stimulating her with group activity. b. sedating her to allow her to sleep. c. allowing time alone to control her anxiety. d. offering a diversion of quiet activity, such as a jigsaw puzzle.