A nurse is helping an older woman undress and notices the woman's knee-high hose have left deep indentations. The woman has diabetes. Does this pose a risk to the patient?
A) No, the indentations will go away.
B) No, knee-high hose are more comfortable.
C) Yes, these are a safety hazard and should not be worn.
D) Yes, these can obstruct lower extremity circulation.
D
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A nurse is counseling a pregnant cocaine abuser. What should the nurse inform this patient that she is placing her baby at significant risk for?
a. Severe allergies b. Neurologic impairments c. Hearing impairment d. Higher birth weights
The nurse assessing the results of a Rinne test sees BC >AC. The nurse translates this to mean that the patient has:
1. conductive hearing loss. 2. sensorineural hearing loss. 3. normal hearing. 4. a cochlear defect.
The Adaptive Potential Assessment Model proposed by Helen Erickson, Tomlin, and Swain includes which of the following?
a. waiting, acting, and adapting b. contact, experiencing, and integrating c. planning, energizing, and resting d. equilibrium, arousal, and impoverishment
During staff debriefing after placing a patient with a history of violence into seclusion, a nurse new to the unit says, "I think we acted prematurely. We didn't spend enough time trying to deescalate the situation."
An appropriate response from the nurse manager would be: a. "You're new here. Trust the staff to make decisions based on experience and sound, evidence-based practice.". b. "We're a team. We all need to be open to other possibilities, and I expect that we respect each other's viewpoints.". c. "I'd like to hear more specifically what you think we could have said or done to talk the patient down and avoid the need for seclusion.". d. "Professional nurses are familiar with a variety of communication interventions; maybe it's time we had an in-service to improve our communication skills.".