When might it be inappropriate for the nurse to assess a client's vital signs?
1. When a client has a change in health status
2. Upon admitting the client to the facility
3. Before and after the client ambulates
4. When a terminal client with a do-not-resuscitate order has a change in condition
Correct Answer: 4
When caring for a terminal client who has a do-not-resuscitate order, the nurse might not need to assess vital signs when his condition changes if it will not impact the plan of care and death is imminent. In all of the other situations, vital signs should be measured.
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The CDC has identified three new standard precautions for infection control. Which of the following clinical situations is addressed by these new precautions?
A) A client is scheduled for a lumbar puncture to assess for meningitis. B) A client will undergo a screening colonoscopy for colorectal cancer. C) A client will be placed in a room that will be shared with other clients. D) A client will have her appendix removed laparoscopically (without a linear incision).
A new graduate is asked to serve on the hospital's quality improvement (QI) committee. The nurse understands that the first step in quality improvement is to:
a. Collect data to determine whether stan-dards are being met. b. Implement a plan to correct the problem. c. Identify the standard. d. Determine whether the findings warrant correction.
A woman hospitalized with preterm labor is being treated with a beta-adrenergic agent. Which symptom is a side effect associated with this drug?
a. Gastrointestinal bleeding c. Tachycardia b. Blurred vision d. Epigastric pain
Mr. Tan's latest diagnostic imaging tests reveal severe and untreatable heart disease, but his family is adamant that the care team refrain from revealing this finding to Mr. Tan
The nurse should recognize that which of the following factors may underlie the family's wishes? A) The family members may have an inadequate understanding of the severity of his condition. B) The family may be enacting their own form of anticipatory grief by keeping Mr. Tan uninformed. C) The family may prefer to avoid making difficult decisions about treatment options. D) The family may be "protecting" Mr. Tan or ensuring that he does not lose hope.