A nurse is assessing a pregnant client whose membranes have ruptured. Which finding
may indicate an infection?
A) Nitrazine paper remains yellow
B) White or cloudy amniotic fluid
C) Clear and colorless amniotic fluid
D) Nitrazine paper turns blue
B
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The unlicensed assistive personnel (UAP) informs the nurse that the client is complaining of severe postoperative pain and requests pain medication. Which action would be appropriate for the nurse to perform?
1. Give the client an analgesic. 2. Assess the client's pain and respond as indicated. 3. Ask the UAP for more data regarding the client's pain. 4. Tell the UAP to inform the client that the nurse will be in as soon as possible.
The LPN has been fired from her job at the nursing home and reported to the state board of nursing for giving medication to a client without a physician's order. The LPN states that she was not aware that this was a violation of scope of practice
What is the LPN's responsibility regarding knowing how to practice within their scope? A) The nurse should call the state board and ask for a list of what she can and cannot do. B) The nurse should access her state nurse practice act to determine the set standard for nurses in her state. C) The nurse should ask an RN what their scope of practice is. D) The nurse should ask another LPN what she can and cannot do.
In obtaining a teenage client's history, which of the following would the nurse consider an early indicator of substance abuse?
A) six absences from school in 1 year B) drinking beer with friends after a football game C) an increasing tolerance for alcohol D) a desire to stop drinking
A psychiatric–mental health nurse is responsible for performing admission assessments of a population that primarily involves young and middle-aged adults. When performing these assessments, which area would be a priority?
A) Coping skills B) Cognition C) Self-esteem D) Suicide risk