A nurse supports a client who is a practicing Jehovah's Witness. She states to the surgeon that it is unethical to go against his beliefs even though his blood counts are very low. This is an example of
A) Acting in the client's best interest
B) Siding with the client over the surgeon
C) Observing institutional policies
D) Being legally responsible
Ans: A
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A patient is administered promethazine (Phenergan) for nausea and vomiting. Which of the following is an adverse effect of promethazine (Phenergan)?
A) Urinary incontinence B) Tachycardia C) Taste alteration D) Extrapyramidal symptoms
A client is being treated for chronic kidney disease. When monitoring this client's nutritional status, for which health problem is the nurse assessing?
a. Hypertension b. Fat catabolism c. Hyperglycemia d. Hyperlipidemia
The horrified CNA runs to the nursing station and says, "Do you know what Mr. and Mrs. Smith are doing? They're having sex right there in room 210!" What would be the best response of the nurse?
a. Knock discreetly on the door and enter the room. b. Call the charge nurse to report inappropriate sexual activity. c. Request an order from the physician to allow intercourse. d. Give the CNA a "Do Not Disturb" sign to put on the door of room 210.
An intensive care unit (ICU) nurse is preparing to assess the level of consciousness (LOC) of a patient who experienced multiple trauma injuries and is on assisted ventilation
The nurse chooses the FOUR Score Consciousness Scale for which reason? 1. This scoring system does not require verbal responses. 2. This scoring system focuses primarily on assessment of cognitive ability. 3. This scoring system requires minimal interaction on the part of the patient. 4. This scoring system is designed especially for intensive care unit patients.