On a patient's admission to the hospital, a nurse asks the patient whether he has a living will or durable power of attorney for healthcare. He states he does and provides a copy for the chart. The basis for the nurse's inquiry is which of the following?
a. Code of Ethics for Nurses
b. Patient Care Partnership
c. Patient Self-Determination Act (PSDA)
d. Health Insurance Portability and Accountability Act (HIPAA)
ANS: C
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The nurse received report from a previous shift. One of her clients was reported to have a history of basilar skull fracture with otorrhea. What assessment finding does the nurse anticipate?
A) The client has cerebral spinal fluid (CSF) leaking from the ear. B) The client has ecchymosis in the periorbital region. C) The client has an elevated temperature. D) The client has serous drainage from the nose.
The mother of a 1-week-old, breast-fed baby tells you that she is concerned because her baby has a small bowel movement each time he feeds. You should let the mother know that:
a. this is normal. b. she should feed the baby less. c. this usually indicates an abnormality. d. she needs to switch the baby to formula.
Pain and swelling near an IV site may indicate an
A. incompatibility of additives. B. incorrect flow rate. C. improper base fluid. D. infiltration or phlebitis.
A student asks the professor what the most common pathophysiologic process is that triggers aplastic anemia (AA). What response by the professor is most accurate?
a. Autoimmune disease against hematopoiesis by activated cytotoxic T (Tc) cells b. Malignancy of the bone marrow in which unregulated proliferation of erythrocytes crowd out other blood cells c. Autoimmune disease against hematopoiesis by activated immunoglobulins d. Inherited genetic disorder with recessive X-linked transmission