A patient has had a DNR order for several
•A patient can change their code status and revoke a DNR at any time. The physician should be notified.
•Waiting until the next day to talk to the physician could have negative consequences. The physician needs to be notified as soon as possible.
•Questioning the patient's decision can damage the nurse-patient relationship, making the patient defensive towards the nurse.
During a disaster, the charge nurse must make room for multiple admissions by discharging patients that are ready. After the nurse selects potential patients for discharge, what should she do?
Regarding the MyPlate guide from the US government, which of the following is true about dairy recommendations?
While handling a number of clients who have arrived in the ED after a possible Anthrax exposure, which of the following illustrates appropriate decontamination measures?
A nurse is caring for a group of patients requiring IV medication administration. Which of the following patients is most suitable for a central venous catheter?
A nurse is preparing a patient for surgery and the LPN is asked to help. For which of the following tasks must the RN confirm that the LPN has received special training?
A nurse on the pediatric ICU is caring for a 3-day old infant with a cleft palate. The nurse may delegate to the certified nursing assistant which of the following activities of daily living for the infant?
A nurse working in a pediatric ER is performing triage on a patient who presented with complaints of a dog bite from the family dog to the right arm. The patient has 2 distinct puncture marks with one on the anterior forearm and one on the posterior forearm. The child's mother states that the child awoke the sleeping dog who then bit the child when startled. The nurse knows which of the following is required when reporting a dog bite?
A home health nurse is caring for an elderly man with advanced dementia. The patient has a bruised eye and abdomen and seems withdrawn. The nurse suspects abuse, but the patient is unable to communicate due to his dementia. What should the nurse do next?
A nurse on the medical surgical floor is preparing a nursing care plan for a patient with acute renal failure. The patient has oliguria with fluid volume excess. The nurse should include which of the following interventions in the care plan?
A nurse has been informed by the charge nurse that she will be getting a new admission from the emergency room. The nurse is already caring for five patients, one who had surgery 3 hours ago and another patient going into surgery later today. What should the nurse do to best manage her assignment?
A nurse manager notices that an increased number of incident reports are completed because of late medication administration around lunch time. What action should the nurse manager take?
The nurse is preparing to administer a rectal medication. The nurse knows that what is a common effect of per rectum drug administration?
A patient requires mechanical ventilation through a tracheostomy after a motor vehicle accident one year ago. The patient's DPOA asks the nurse if the ventilator can be removed. Which of the following responses by the nurse best explains the legal rights of the power of attorney?
A patient with a potassium level of 2.9 mEq/L is prescribed potassium chloride, 40 mEq IV. The patient only has a peripheral IV. The nurse should administer this medication:
A newly diagnosed type 1 diabetic requires education on insulin administration. Why should the nurse instruct the patient to rotate insulin injection sites?
An elderly patient with respiratory failure informs the nurse that she does not want to be placed on a ventilator. What should the nurse do next?
A patient comes into the ED in respiratory distress with stridor and cyanosis. The patient was sick a few days ago with flu-like symptoms, a dry cough, sweats, and mild chest pain, but then the patient felt better for a couple days and was able to return to work at the wool mill before suddenly feeling much worse. Of the following, to which does the nurse suspect the patient has been exposed?
A nurse is working on a medical surgical floor and is assigned an elderly, confused patient with a history of falls. The nurse knows that which of the following measures should be implemented to prevent falls in this patient?