Which should the nurse implement to prevent the kidnapping of a newborn from the hospital?
a. Restricting the amount of time infants are out of the nursery
b. Questioning anyone who is seen walking in the hallways carrying an infant
c. Allowing no visitors in the maternity area except those who have identification bracelets
d. Instructing the parents to not give the baby to anyone except the nurse assigned that day
ANS: B
Infants should be transported in the hallways only in their cribs. Restricting the amount of time infants are out of the nursery will be difficult to monitor and will limit the mother's support system from visiting. Infants need to spend time with the parents to facilitate the bonding process. It is impossible for one nurse to be on call for one mother and baby for the entire shift, so the parents need to be able to identify the nurses who are working on the unit.
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Of the following, the client MOST likely to develop narcissistic personality disorder is the:
a. female with unstable, chaotic family; comorbid depression; and substance abuse b. male with familial adoration, expectation to be perfect, and a rigid personality c. female with familial valuing of appearance and comorbid somatization disorder d. male with violent, neglectful family, and who meets criteria for adolescent conduct disorder
Which of the following actions is the most important to perform first in caring for victims of a mass casualty incident?
a. Call in all part-time and on-call staff to help care for newly admitted clients. b. Contact surrounding communities for assistance. c. Call the hospital supply store and order extra dressings, intravenous fluids, and other materials. d. Discharge as many hospital patients as possible to make room for disaster victim admissions.
An 18-month-old child is seen in the clinic with a temperature of 40° C. The child's parents tell the nurse that the child developed the fever the previous evening and was inconsolable during the night
The provider examines the child and notes a bulging, erythematous tympanic membrane. The nurse will expect to: a. ask the parent to return to the clinic in 2 days to see whether antibiotics need to be started. b. discuss a referral to an ear, nose, and throat specialist for follow-up treatment. c. teach the parent to give analgesics for 3 days while observing for worsening symptoms. d. tell the parent to administer amoxicillin at 45 mg/kg/dose twice daily.
The nurse manager of a quality improvement program asks a nurse in the neurological unit to conduct a retrospective audit. Which action should the auditing nurse plan to perform in this type of audit?
A. Checking the documentation written by a new nursing graduate on her assigned clients at the end of the shift B. Checking the crash cart to ensure that all needed supplies are readily available should an emergency arise C. Reviewing neurological assessment checklists for all clients on the unit to ensure that these assessments are being conducted as prescribed D. Obtaining the assigned medical record from the hospital's medical record room to review documentation made during a client's hospital stay