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In biologic death, there is an absence of respirations and: [
Ans: ] Heartbeat
The nurse is caring for a client who has been confused
and climbing out of the bed. What action should the nurse
take if the nurse must take care of another client and
leave the room? [ Ans: ] Don't leave the client alone and
request that another nurse sit one-on-one with the client
The nurse is caring for a client with acute blood loss from
a duodenal ulcer. The client is a Jehovah's Witness and
refuses to consent for blood administration ordered by
the physician.
What action by the nurse is appropriate? [ Ans: ] Respect
the client's wishes and continue to monitor the client's
condition
A middle aged client informs the nurse of an increasing
weight gain.
Which screening should the nurse prepare the client for to
assess for potential complications of the weight gain [
Ans: ] Glucose level to screen for diabetes.
What trends in nursing are expected to influence nursing
in the 21st century? Select all that apply. [ Ans: ] higher
client acuity in hospital and long term settings
, shift to community base care
advancements in technology
greater life expectancy
The nurses came for several patients on a medical unit.
Which patient would the nurse identify as a vulnerable
person? [ Ans: ] A mentally challenged adult admitted for
surgery
The nurse is caring for a group of clients. What
fundamental procedure of healthcare should the nurse
include in the care? [ Ans: ] Use standard precautions
A Muslim-Arab female client is in the clinic for a
gynecologic procedure.
The client does not directly look at the nurse or physician
in the eye when speaking. What does the nurse interpret
this behavior to mean? [ Ans: ] The client is demonstrating
modesty
The nurse is performing passive range of motion exercises
for a client who is immobile. Which response by the nurse
is best when the client states, "Why are you doing this?" [
Ans: ] "It will prevent joint stiffness and muscle atrophy."
A client asked the nurse why so many wrinkles have
developed on the clients face. Which response by the
nurse is the best? [ Ans: ] Wrinkles are a result of a loss of
elasticity.