An obstetrical nurse comes across an automobile accident. The patient seems to have a crushed upper airway, and while waiting for emergency medical services to arrive, the nurse makes a cut in the trachea and inserts a straw from her purse to provide
an airway. The patient survives and has a permanent problem with his vocal cords, making it difficult to talk. Which statement is true regarding the nurse's performance? a. The nurse acted appropriately and saved the patient's life.
b. The nurse acted within the guidelines of the Good Samaritan Law.
c. The nurse took actions beyond those that are standard and appropriate.
d. The nurse should have just stayed with the patient and waited for help.
C
An obstetric nurse would not have been trained in performing a tracheostomy or a cricotomy, and doing so would be beyond what she has been trained or educated to do. The nurse did not do what another nurse would have done in the same situation. The nurse is not protected by the Good Samaritan Law because she acted outside of her scope of practice and training. The nurse should have acted within what she was trained and educated to do in this circumstance, not just stay with the patient.
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The community has a large number of immigrants. The nurse organizes a home visiting program to this community area to address family health concerns and provide health information. This is considered:
1. Care of the sick. 2. Case finding and referral. 3. Health promotion and illness prevention. 4. Health protection.
The older adult client often has difficulty seeing objects that are close because the lens of the eye becomes less pliable. Which of these terms describes this condition?
a. glaucoma c. myopia b. macular degeneration d. presbyopia
The informatics nurse is preparing a presentation for new nursing staff. Which definition should the nurse use when explaining informatics to these colleagues?
A) A subspecialty of nursing that focuses on training in the use of computers B) A specific area of medicine that highlights the importance of technology in patient care C) A profession that is seeking an identity separate from medicine, nursing, or other behavioral sciences D) An interdisciplinary field that includes computer, decision, information, management, and cognitive sciences
Data collection findings for a patient involved in a motor vehicle accident include pale mucous membranes, diaphoresis, confusion, blood pressure 88/48 mm Hg, irregular heart rhythm, and metabolic acidosis
Which of these does the nurse recognize as the likely cause of this acidosis? a. Inadequate ventilation b. Hyperventilation c. Aerobic metabolism d. Anaerobic metabolism