The nurse is assessing a client's pupilary response. Which of the following is considered normal?
a. Right pupil larger than left and sluggish response to light
b. Left pupil larger than right and sluggish response to light
c. Pupils equal round and reactive to light and accommodation
d. Bright red conjunctiva
ANS: C
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The emergency department team is performing cardiopulmonary resuscitation on a client when the client's spouse arrives at the emergency department. Which action should the nurse take first?
a. Request that the client's spouse sit in the waiting room. b. Ask the spouse if he wishes to be present during the resuscitation. c. Suggest that the spouse begin to pray for the client. d. Refer the client's spouse to the hospital's crisis team.
A nurse is teaching a female client with rheumatoid arthritis (RA) about taking methotrexate (MTX) (Rheumatrex) for disease control. What information does the nurse include? (Select all that apply.)
a. "Avoid acetaminophen in over-the-counter medications." b. "It may take several weeks to become effective on pain." c. "Pregnancy and breast-feeding are not affected by MTX." d. "Stay away from large crowds and people who are ill." e. "You may find that folic acid, a B vitamin, reduces side effects."
A nurse is preparing health education for a patient who has received a diagnosis of myelodysplastic syndrome (MDS). Which of the following topics should the nurse prioritize?
A) Techniques for energy conservation and activity management B) Emergency management of bleeding episodes C) Technique for the administration of bronchodilators by metered-dose inhaler D) Techniques for self-palpation of the lymph nodes
Which of the following is an example of behavior that is NOT ethical?
A. Providing privacy during all personal care B. Performing only those tasks that are within your scope of practice C. Sharing information about a patient on social media D. Reporting accidents or errors to your supervisor immediately