Standards of care are guidelines that represent generally accepted practice. They are derived from a variety of sources, including which of the following?
1. state board of nursing, nursing textbooks, and manuals
2. state board of nursing and American Nurses Association (ANA)
3. ANA, state statutes, accrediting agencies, and procedure manuals
4. hospital policies and nursing textbooks
ANS: 3
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An infant cries and spits out a liquid medicine. To help the mother give the drug, the nurse should suggest that the mother:
a. give the liquid in a small amount of juice. b. put the liquid in a full bottle of milk. c. put the liquid in a cup and pour it into the infant's mouth. d. hold the child down and have someone else give the drug.
A patient who had gastric bypass surgery 5 weeks ago calls the office to report feelings of nausea, sweating, and diarrhea shortly after eating meals. What response by the nurse is most appropri-ate?
a. "This is common after the type of surgery you had." b. "Try to eat your meals slower to promote absorption." c. "Reduce the amount of refined sugars that you are eating." d. "You may be experiencing a postoperative infection."
After a long history of intravenous heroin use, a client has expressed willingness to stop using heroin. The nurse would expect the client to receive which medication to decrease the severity of withdrawal?
A) Methadone B) Gabapentin (Neurontin) C) Amphetamines D) Ondansetron (Zofran)
When testing the patient's blood glucose
A) wash your hands. B) wash the patient's hands. C) wear gloves. D) all of the above