After receiving a report from a teacher regarding a student who was previously outgoing and doing well in the classroom but is now appearing withdrawn, the nurse assesses the student
The nurse becomes aware that there is a possibility that abuse is happening in the home and notifies the appropriate agencies. In this example, the nurse is:
1. Making an appropriate referral to ensure the health and safety of the student.
2. Refusing to become involved in a domestic affair.
3. Acting outside of the scope of practice.
4. Releasing any further obligation to the student.
Answer: 1
Explanation: 1. Referral in the presence of an identified problem is helping to resolve a health problem. The student that has a dramatic change in appearance and classroom behavior warrants further investigation and appropriate referrals for help, which is done in this situation. The nurse is not refusing to become involved in a domestic situation, as is evident in the referral that was made. The nurse is acting within the scope of practice and is legally obligated to report conditions that can threaten the health and safety of the student. The nurse remains obligated to help the student in this situation.
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The nurse interprets the role of the individual state boards of nursing in the NCLEX® Exam as which of the following?
a. To coordinate with the National Council State Boards of Nursing in administering the examination and licensing candidates to practice in respective states b. To prepare a licensure examination that is reflective of entry-level practice in their respective states c. To grade the examination, advise students of the results, and transmit all results to the National Council State Boards of Nursing for their files d. To supervise and administer the examina-tion to the candidates within their state jurisdictions
An asthmatic patient comes to the emergency department (ED) with edema of the glottis, chest tightening, and wheezing. The nurse suspects severe bronchospasm and should prepare to administer a(n) (Select all that apply.)
a. nebulized albuterol treatment. b. levalbuterol (Xopenex) treatment. c. oral beta2 agonist. d. inhaled corticosteroid. e. leukotriene modifier.
A nurse is applying a cold compress to a client with a fracture. Which should the nurse
do during the procedure? A) Apply the compress so that it is moist, but not dripping B) Place the compresses in a basin containing pieces of ice only C) Keep the compress on the site for 45 minutes D) Repeat the procedure every hour for quick relief
The nurse is caring for an Asian American client diagnosed with terminal cancer. Which factor should the nurse consider to achieve adequate pain control for the client?
1. All ethnic groups respond to medications in the same manner. 2. The only variation in drug metabolism occurs among African Americans. 3. Asians respond differently to antidepressants only. 4. Opioids are metabolized differently in individuals of Asian and Native American descent.