A client arrives in the emergency department, pale and breathing rapidly. He immediately becomes unconscious and collapses to the floor. The nurse rapidly assesses the patient and decides the first series of actions that are called for
This scenario demonstrates:
1) Formal planning.
2) Informal planning.
3) Ongoing planning.
4) Initial planning.
ANS: 2
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A patient is preparing to travel to perform missionary work in a region with poor drinking water. The provider gives the patient a prescription for ciprofloxacin [Cipro] to take on the trip. What will the nurse instruct this patient to do?
a. Combine the antibiotic with an antidiarr-heal medication, such as loperamide. b. Start taking the ciprofloxacin 1 week be-fore traveling. c. Take 1 tablet of ciprofloxacin with each meal for best results. d. Use the drug if symptoms are severe or do not improve in a few days.
Nurses respect the client's right of autonomy even if the client's decision conflicts with the nurse's values
Indicate whether the statement is true or false
During the breakthrough negotiation between the hospital's unlicensed workers and the nurse manager of a unit, the nurse manager reframed a personal attack by the unlicensed workers by saying:
a. "I don't agree with you." b. "I understand that you are angry." c. "How would you deal with the situation?" d. "What do you think will happen if we reach agreement?"
A child diagnosed with tetralogy of fallot becomes upset, crying and thrashing around when a blood specimen is obtained. The child's color becomes blue and respiratory rate increases to 44 bpm. Which of the following actions would the nurse do first?
a) obtain an order for sedation for the child b) assess for an irregular heart rate and rhythm c) explain to the child that it will only hurt for a short time d) place the child in knee-to-chest position