The client reports that she was raped three weeks ago, and now her menses is a week late. The client is extremely upset when a pregnancy test confirms that she is pregnant, and requests information regarding pregnancy termination
Which statement is best for the nurse to include? A. "Abortion is morally wrong and should not be undertaken."
B. "You are too late to have a medical abortion."
C. "Surgical abortion can result in uterine perforation."
D. "Both medical and surgical abortions are 100% effective."
C
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A nursing unit is frequently short-staffed. Many agency nurses work to fill staff nurse vacancies. The manager has hired many new graduates, but most leave in less than 1 year. This may be to the result of a lack of ____
a. Continuity of care b. Formal leadership c. Ethical behaviors d. Shared assumptions
The nurse places a patient in isolation. Isolation techniques attempt to break the chain of infection by interfering with:
A) Transmission mode B) Agent C) Susceptible host D) Portal of entry
A terminally ill patient has developed delirium since admission to the ICU. Which nursing interventions are indicated?
1. Collaborate with the physician to eliminate any medications that have the side effect of delirium. 2. Collaborate with the physician regarding the administration of haloperidol or ziprasidone. 3. Restrain the patient to prevent injury. 4. Avoid confrontation by "going along" with the patient's hallucinations. 5. Use objects like the television or newspapers to help maintain patient orientation.
The nurse is caring for a client who develops compartment syndrome after an embolectomy for peripheral arterial disease. What is the nurse's best action?
a. Perform passive range-of-motion exercise to improve distal blood flow. b. Prepare the client for return to the operative suite for surgical correction. c. Medicate the client for pain and place the client in a knee-chest position. d. Loosen the dressing and elevate the extremity to the level of the heart.