While the nurse is measuring blood pressure, the client lifts his hand and fondles the nurse's breast. What should the nurse do about this behavior?
1. Ignore the fondling.
2. Move the client's hand away.
3. Refocus the client on appropriate behavior.
4. Tell the client to stop performing the behavior.
5. Communicate that the behavior is not acceptable.
Correct Answer: 2, 3, 4, 5
Rationale: The nurse needs to set limits with the client, and ignoring the behavior would communicate that it is acceptable.
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The nurse should teach the patient that oral contraceptives, when taken consistently, are how effective in preventing pregnancy? A) Between 96% and 98% B) Approximately 98.5% C) Highly effective, but partially dependent on genetic factors D) Nearly 100%
The hospice nurse instructs the family that they have access to a bereavement coordinator who follows the plan of care focused on the caregiver after the death of the patient
For how long of a period of time will the caregiver and family have access to the bereavement coordinator? a. One week b. One month c. One year d. Two years
The SMART acronym can be used to help determine goals in career planning. Which of the following is not correct for the first four letters?
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The nurse initiates a blood transfusion for a client. What action should the nurse take next?
1. Stay with the client and closely observe him for the first 5 to 10 minutes of the transfusion. 2. Assign the UAP to sit with the client for 15 minutes. 3. Advise the client to notify the nurse if he experiences any chilling, nausea, flushing, or rapid heart rate. 4. Return to the room and take a set of vital signs in 15 minutes.