Where in the chart would the nurse most likely find a statement of whether the client has an advance directive?
a. clinical pathway
b. face sheet
c. medical history and physical examination
d. consent form
B
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The patient requests that one bed siderail be fully up for use in assisting with turning. Is this considered a restraint?
1. Yes, bedrails should never be in the full-up position unless the patient is being transported. 2. Yes, this is a restraint that requires an order by a physician. 3. No, if the patient requests the restraining device, it is not a restraint. 4. No, the bedrail in this case is being used as an assistive device, not a restraint.
The patient presents to the clinic with dysuria and hematuria. How does the nurse proceed to assess for kidney inflammation?
a. Lightly palpates each abdominal quadrant b. Inspects abdomen for abnormal movement or shadows using indirect lighting c. Uses deep palpation posteriorly d. Percusses posteriorly the costovertebral angle at the scapular line
Parents of a child who experienced a moderately severe allergic reaction after eating peanuts ask the nurse what they can do to help if it happens again. Which response by the nurse is the most appropriate?
1. "If it happens again, I will teach you what to do." 2. "You should have an antihistamine like Benadryl with you at all times." 3. "We can start a desensitization process to take the allergy away." 4. "I will teach you how to use an EpiPen."
A nurse should recognize that clients who have a history of missed or late medical appointments are most likely to come from which cultural group?
A. Northern European Americans B. Asian Americans C. Native Americans D. Jewish Americans