A student nurse is photocopying hisassigned client's diagnostic test results. - Photocopying diagnostic test results isa breach of the client's confidentialityand privacy.A charge nurse on a medical-surgicalunit is planning care for a client who hasdementia and is being admitted forsurgery. Which of the following wouldpromote safety when caring for thisclient?Placing the client in a room near thenurses' station. - The nurse should place the client in aroom near the nurses' station andobserve the client frequently to reducethe risk of injury.A charge nurse on a pediatric unit isdelegating tasks to an assistivepersonnel who is pregnant and reportsthat she is unsure of her immune statusA 2 year old child who has impetigocontagiosaA charge nurse receives a call from hisnursing supervisor about an explosion ata local factory and an urgent need forfacility bedsa 44 year old client who has asthma andadmitted for carpal tunnel surgery
A charge nurse recognizes a trend ofpoor attendance at monthly staffmeetings. To address this issue, which ofthe following actions should the chargenurse take first?Explore the reasons that staff are notattending the meetings. - According to evidence-based practicethe nurse should first identify the reasonsthat staff are not attending the meetings.A client has Alzheimer's, refuses to take antihypertensive medication,is oriented to time and place, and is able to perform ADLs withminimal supervision. What action should the nurse take? a. crush pills and feed them to client in applesauce b. insist client comply by informing her of possible implications ofmissing a dose c. notify the provider of need for further evaluation of client's level ofcompetence d. ask client to express her reasons for refusing the medication anddocument the eventd. ask client to express her reasons forrefusing the medication and documentthe eventA client in a long term care facility fallsout of bed, fracturing his left hip. Theside rails on the bed were not raised atbedtimeNegligenceA client is being transferred to thesurgical suite for a procedure when theclient suddenly exclaims, "I've changedmy mind. I don't want to go through withthis!" Which of the following is anappropriate response by the nurse?"Let me call your surgeon while you tell me about yourconcerns." - This is an appropriate response because the client has the rightto refuse treatment. Speaking with the nurse and the providerabout concerns or questions may allay anxieties and allow theclient to continue with the procedure. Consent may be withdrawnafter it's given and clients have the right to change their minds. Itis the nurse's responsibility to notify the surgeon if the clientverbalizes a desire to stop or delay a medical procedure ortreatment.
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- Winter '16
- Nursing, AP, d., c., charge nurse