After assessing an older adult patient in long-term care who has been slowly deteriorating for weeks, the nurse manager calls the family and asks them to come in, as the patient is dying. The nurse manager's decision and actions are based on:
a. An established clinical pathway.
b. Confirmatory scientific evidence.
c. Unit protocol.
d. Experience.
D
The nurse manager is employing knowledge and experience in determining that the patient is dying, because the course of dying is not standardized and cannot be determined by clinical pathways.
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A fifth grade teacher is concerned that one of his students is at risk for violent behavior. Which signs will the school nurse advise him to be aware of? (Select all that apply.)
a. Enjoys contact sports b. Engages in risk-taking behaviors c. Frequent angry outbursts d. Threatens classmates e. Isolates self from others f. Damages school property
The community mental health nurse is told about a person who lives under a covered bridge in the community. When the nurse finds this client, he tells her that he owns the bridge because he is king of the county
He obtains his food from handouts from families who live in the area and by fishing in the stream. Which nursing diagnosis is appropriate? a. Social Isolation b. Impaired Sensory Perceptions: Delusions c. Ineffective Individual Coping: Alcoholism d. Hopelessness
Different forms of drugs are appropriate for different routes of administration, so it is important to use the correct form. Failure to administer the drug in the correct form results in medication ________.
Fill in the blank(s) with the appropriate word(s).
The nurse is providing care for a client who experienced a fracture requiring a plaster cast. Which nursing intervention is appropriate for this client?
A) Prescribing opioid pain medication B) Assessing neurovascular status C) Discouraging client ambulation D) Encouraging the client to keep the cast damp