Which personnel may accept verbal orders in the United States is governed by
A. The Joint Commission.
B. local ordinance.
C. state law.
D. the Institute for Safe Medication Practice.
Answer: C
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The nurse examines a client who had a total knee replacement and has been placed in a continuous passive motion machine. The client asks, "What is the purpose of that machine?" The nurse explains the purpose by saying:
1. "The machine is used to prevent scarring of the incision site and keep the knee elevated." 2. "The machine prevents rusting of the artificial joint, which could occur because of the fluids in your body coming in contact with it." 3. "The machine helps to decrease swelling and maintain normal function until you can begin exercising your knee independently." 4. "The machine helps to provide exercise so you don't gain weight while your activity level is diminished."
A son brought his 73-year-old widowed father into the emergency room. The client has congestive heart failure but is under the care of a physician and has been in good health
The son was called in by the fire department after they put out a small cooking fire at the client's home. The firefighters reported that they found the client sitting in a chair mumbling incoherently, unaware of the fire and smoke. The client now appears to be drifting in and out of consciousness and is having problems keeping his attention on any one task. In this situation, the client is probably suffering from: 1. Dementia. 2. Cerebrovascular accident. 3. Delirium. 4. Depression.
A client is recovering from a parathyroidectomy. For what should the nurse assess to determine if hypocalcemia is present in this client?
1. Bradycardia and weight loss 2. Flaccid paralysis 3. Muscle cramps, tingling, and tetany 4. Hypotension and headache
A diabetic client is admitted to a healthcare facility for diarrhea, nausea, vomiting, and
altered mental status. The arterial blood gas (ABG) report of the client shows decreased pH and decreased HCO3–. What immediate action should the nurse take? A) Give a bicarbonate infusion B) Give Ringer's solution C) Notify the physician D) Apply a re-breathing mask