CLINICAL DECISION MAKING LEADERSHIP AND MANAGEMENT

An infant is brought to the emergency department. The infant is limp and has central cyanosis, a heart rate of 60 beats/minute, and a respiratory rate of 12 breaths/minute. The parents state that they have an advance directive for their infant, who has a terminal illness. A nurse's initial action should be to: You Selected: •ask to see a copy of the advance directive. Correct response: •ask to see a copy of the advance directive. Explanation: Remediation: Add a Note Question 2 See full question 13s Report this Question A 15-year-old girl visits the neighborhood clinic seeking information on "how to keep from getting pregnant." What should the nurse say in response to her request? You Selected: •"Can you tell me about the precautions you're taking now?" Correct response: •"Can you tell me about the precautions you're taking now?" Explanation: Add a Note Question 3 See full question 22s Report this Question A nurse explains the guidelines for the unit's seclusion room to a client with an impulse control disorder. Which client statement indicates that the nurse has adequately communicated the client's rights? You Selected: • "Although I don't think I will, I can ask to go into seclusion, but I know you can make me go into the seclusion room." Correct response: • "Although I don't think I will, I can ask to go into seclusion, but I know you can make me go into the seclusion room." Explanation: Remediation: Add a Note Question 4 See full question 1m 7s Report this Question A nursing assistant escorts a client in the early stages of labor to the bathroom. When the nurse enters the client's room, she detects a strange odor coming from the bathroom and suspects the client has been smoking marijuana. What should the nurse do next? You Selected: • Explain to the client that smoking poses a danger of explosion because oxygen tanks are stored close by. Correct response: •Notify the physician and security immediately. Explanation: Remediation: Add a Note Question 5 See full question 14s Report this Question To promote comfort and optimal respiratory expansion for a client with chronic obstructive pulmonary disease during sexual intimacy, the nurse can suggest the couple do what? You Selected: •Raise the affected partner’s head and upper torso on pillows. Correct response: •Raise the affected partner’s head and upper torso on pillows. Explanation: Remediation: Add a Note Question 6 See full question 12s Report this Question A nurse overhears a fellow staff member talking about the mother of a child for whom the staff nurse is caring. The nurse is telling others private information that the mother had shared. What is the best response by the nurse overhearing the conversation? You Selected: •Talk to the staff member privately about this. Correct response: •Talk to the staff member privately about this. Explanation: Add a Note Question 7 See full question 21s Report this Question While assessing a male neonate whose mother desires him to be circumcised, the nurse observes that the neonate’s urinary meatus appears to be located on the ventral surface of the penis. The nurse notifies the healthcare provider because the nurse suspects which disorder? You Selected: •hypospadias Correct response: •hypospadias Explanation: Remediation: Add a Note Question 8 See full question 27s Report this Question A mother expresses concern because her 3-year-old son frequently fondles his penis. The mother does not know the best approach for the child's behavior. What is the nurse's best response to the mother? You Selected: "This behavior is normal for a child of his age."