Specialized white blood cells called lymphocytes that fight infection either as B cells or T cells circulate in the blood, searching for invading pathogens. A nurse identifies that these types of cells represent
1. Primary defenses.
2. Secondary defenses.
3. Tertiary defenses.
4. Systemic defenses.
ANS: 3
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Which of the following are examples of invasion of privacy by nurses? Select all that apply
a. Searching a patient's belongings without permission b. Reviewing the plan for patient care in the lunchroom c. Discussing healthcare issues for an unconscious patient with the person who holds his power of attorney d. Releasing patient health information to local newspaper reporters
With regard to an obstetric litigation case, a nurse working in labor and birth is found to be negligent. Which intervention performed by the nurse indicates that a breach of duty has occurred?
a. The nurse did not document fetal heart tones (FHR) during the second stage of labor. b. The client was only provided ice chips during the labor period, which lasted 8 hours. c. The nurse allowed the client to use the bathroom rather than a bedpan during the first stage of labor. d. The nurse asked family members to leave the room when she prepared to do a pelvic exam on the client.
A woman has been having contractions since 4 a.m. At 8 a.m., her cervix is dilated to 5 cm. Contractions are frequent, and mild to moderate in intensity. Cephalopelvic disproportion (CPD) has been ruled out
After giving the mother some sedation so she can rest, the nurse would anticipate preparing for: 1. Oxytocin induction of labor. 2. Amnioinfusion. 3. Increased intravenous infusion. 4. Cesarean section.
The nurse is preparing medication that is packaged in an ampule. Which are appropriate nursing actions when preparing this medication?
1. Using a filter needle when administering the injection to the client 2. Using gauze when opening the ampule 3. Tapping the neck of the ampule to drop all medication into the body of the ampule prior to opening it 4. Checking the expiration date on the ampule 5. Wiping the container with an antimicrobial prior to opening the ampule