Which action would the home care nurse take to demonstrate a respect of time?
A. Informing the patient of the approximate time the visit will be made
B. Showing up when able at the patient's home without informing the patient first
C. Bringing a gift to the patient's home on the initial visit
D. Giving a general idea of when the visit will be made
Answer: A
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The client with acute glomerular nephritis has periorbital edema. What additional assessment should the nurse obtain or perform with this client?
A. Auscultate breath sounds. B. Check blood glucose levels. C. Measure deep tendon reflexes. D. Test urine for the presence of protein.
A cancer patient is receiving drug therapy with epoetin alfa (Epogen). The nurse knows that the medication must be stopped if which laboratory result is noted?
a. White blood cell count of 550 cells/mm3 b. Hemoglobin level of 12 g/dL c. Potassium level of 4.2 mEq/L d. Glucose level of 78 mg/dL
The mother of a 13-year-old child with conduct disorder says, "Oh, fighting and stealing—yeah, he's always been this way. In fact, when he was 8 years old, he was already in trouble with the law"
How should a nurse interpret this information? A) Childhood-onset conduct disorder is more severe than the adolescent-onset type, and these individuals likely develop antisocial personality disorder in adulthood. B) Childhood-onset conduct disorder is caused by a difficult temperament, and the child is likely to outgrow these behaviors by adulthood. C) Childhood-onset conduct disorder is diagnosed only when behaviors emerge before the age of 8 years, so the client is likely to improve. D) Childhood-onset conduct disorder has no treatment or cure, and children with this diagnosis should be removed from society because they are likely to develop antisocial personality disorder.
How would you handle this situation? Please provide rationale(s) for your response
You are the circulating nurse for a procedure and are working with an experienced RN, who is the instrument nurse. During the course of the initial count you note that the instrument nurse is not counting items according to practices set out in your operating suite's policy manual, which is based on professional standards. What will be an ideal response?