An 85-year-old client is admitted to the emergency department with a major burn. Which physician order would the nurse question?
A) administer narcotics intramuscularly as needed for pain
B) insert Foley catheter for hourly output measurements
C) take vital signs every 5 to 15 minutes
D) apply topical antimicrobial ointment to wounds
A
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The nurse observes the unit clerk providing the hospital chaplain with clients' religious affiliations. The nurse's priority action is to:
1. Do nothing. 2. Stop the unit clerk and reprimand her privately for sharing privileged information. 3. Inform the chaplain that signed permission will be required to provide that information. 4. Do nothing, but speak to the unit clerk later about HIPAA privacy laws.
A client believes doorknobs are "filthy" with bacteria, and he must clean each knob three times
before he can touch it or must use a paper towel to avoid putting his fingers in contact with the knob. The nurse must make the assessment that this behavior serves the purpose of reducing a. sexual ideation. b. anxiety. c. guilt. d. hallucinations.
Calculate RK's caloric and protein requirements at discharge from the hospital. Compare this to the amount of calories and protein he is receiving from the 2 kcals/cc tube feeding at 240 cc qid
Veracity
What will be an ideal response?