A nurse listens to a patient's lungs and determines that the patient needs to cough and deep breath. The nurse has the patient cough and deep breath. Which concept did the nurse demon-strate?
a. Accountability
b. Autonomy
c. Licensure
d. Certification
B
Autonomy is essential to professional nursing and involves the initiation of independent nursing interventions without medical orders. Accountability means that you are professionally and le-gally responsible for the type and quality of nursing care provided. To obtain licensure in the United States, RN candidates must pass the NCLEX-RN® examination administered by the in-dividual State Boards of Nursing to obtain a nursing license. Beyond the NCLEX-RN®, some nurses choose to work toward certification in a specific area of nursing practice.
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To decrease the damage of bruxism seen in a patient who has been abusing the drug ecstasy, the nurse should:
a. turn the patient to his right side. b. elevate the head of the bed 30 degrees. c. utilize a pacifier. d. administer a muscle relaxant.
A patient is in the acute phase of a burn injury. One of the nursing diagnoses in the plan of care is Ineffective Coping Related to Trauma of Burn Injury. What interventions appropriately address this diagnosis? Select all that apply
A) Promote truthful communication. B) Avoid asking the patient to make decisions. C) Teach the patient coping strategies. D) Administer benzodiazepines as ordered. E) Provide positive reinforcement.
An older client in a long-term care facility is receiving an annual physical and is ordered laboratory tests that include a complete blood count, serum electrolytes, and thyroid tests. When the client's son questions why these tests are being ordered by s
a. the healthcare provider ordering the tests needs to explain the rationale to the son b. when conducted annually, all of the tests are helpful in promoting maximum health for older adults in the long-term care setting c. the tests are useful, but only if clinically indicated d. the complete blood count and serum electrolytes are useful screening tests, but the usefulness of the thyroid test should be questioned
The home care nurse is assessing the client receiving antibiotic therapy in the home for infective endocarditis. Which of the following clinical manifestations requires re-evaluation of the treatment regimen?
A. Fever B. Fingernail clubbing C. Resolving petechiae D. Pulse pressure of 36 mm Hg