Module 5
romberg test
-ask client to stand with feet at comfortable distance apart, arms at sides, and eyes closed -expected finding: client should be able to stand with minimal swaying for at least 5 seconds
a nurse is told in hand-off report that a pt opens eyes spontaneously , is confused but able to answer questions, and demonstrates purposeful movement to painful stimuli. What does the nurse calculate the pt's Glasgow Coma Scale to be?
13
You are the night shift nurse and are caring for a newly admitted patient who appears confused. The family asks to see the patient's medical record. What is the first nursing action to take? 1. Give the family the record 2. Give the patient the record 3. Discuss the issues that concern the family with them 4. Call the nursing supervisor
3
what is the glasgow coma scale score for a pt in a deep coma with no eye opening, no verbal response, and no motor response
3
how often should normal bowel sounds be heard in each quadrant of the abdomen
5-35 times per minute
A patient has been admitted to an acute care hospital unit. The nurse explains the hospital philosophy that the patient be an active part of planning their care. The patient verbalizes understanding of this request when they make which statement?
"We can work together to adjust my plan as we need to."
Resolution of an ethical dilemma involves discussion with the patient, the patient's family, and participants from all health care disciplines. Which of the following describes the role of the nurse in the resolution of ethical dilemmas? A. To articulate his or her unique point of view, including knowledge based on clinical and psychosocial observations B. To await new clinical orders from the physician C. To limit discussions about ethical principals D. To allow the patient and the physician to resolve the dilemma without regard to personally held values or opinions regarding the ethical issues
A
Successful ethical discussion depends on people who have a clear sense of personal values. When a group of people share many of the same values, it may be possible to refer for guidance to philosophical principals of utilitarianism. This philosophy proposes which of the following? A. The value of something is determined by its usefulness to society. B. People's values are determined by religious leaders. C. The decision to perform a liver transplant depends on a measure of the moral life that the patient has led so far. D. The best way to determine the solution to an ethical dilemma is to refer the case to the attending physician or health care provider.
A
the nurse is assessing a pt who may have hearing loss. which of these statements is true concerning air conduction? a) air conduction is the normal pathway for hearing b) vibrations of the bones in the skull cause air conduction c) amplitude of sound determines the pitch that is heard d) loss of air conduction is called a conductive hearing loss
A
living will
A document that indicates what medical intervention an individual wants if he or she becomes incapable of expressing those wishes.
AMA form
Against medical advice form
ARRA
American Recovery and Reinvestment Act
ADA
Americans with Disabilities Act
The nurse is watching a new graduate nurse perform auscultation of a patients abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultation precedes percussion and palpation of the abdomen?
Auscultation prevents distortion of bowel sounds that might occur after percussion and palpation.
23. The nurse is assessing the abdomen of an older adult. Which statement regarding the older adult and abdominal assessment is true? Abdominal tone is increased. Abdominal musculature is thinner. Abdominal rigidity with an acute abdominal condition is more common. The older adult with an acute abdominal condition complains more about pain than the younger person.
B
During an abdominal assessment, the nurse is unable to hear bowel sounds in a patient's abdomen. Before reporting this finding as "silent bowel sounds" the nurse should listen for at least: A) 1 minute. B) 5 minutes. C) 10 minutes. D) 2 minutes in each quadrant.
B
If a verbal or phone order is necessary in an emergency, the nurse knows what action needs to be completed? a. The order must be taken by an RN or LPN. b. The order must be repeated verbatim to confirm accuracy. c. The order is documented as a written order. d. The order does not need further verification by the provider.
B
The nurse is listening to bowel sounds. Which of these statements is true of bowel sounds? Bowel sounds: A.Are usually loud, high-pitched, rushing, and tinkling sounds. B. Are usually high-pitched, gurgling, and irregular sounds. C. Sound like two pieces of leather being rubbed together. D. Originate from the movement of air and fluid through the large intestine.
B
Splinter hemorrhages in fingernails
Bacterial endocarditis
The nurse notices that his patient has none of the signs and symptoms normally associated with pain, such as diaphoresis, tachycardia, and hypertension. The patient does, however, seem moody and a bit uncooperative. What conclusion does the nurse draw? A. It is likely the patient is a drug seeker and has little or no pain. B. The patient's problem is more mental than physical. C. The absence of physiological signs and symptoms is associated with chronic pain. D. The patient's pain cannot be accurately assessed until the patient has been treated for anxiety.
C
which actions, if performed by an RN, would result in both criminal and administrative law sanctions against the nurse? a- refusing to provide health care info to a pt's child b- reporting suspected abuse and neglect of children c- applying physical restraints without a written physicians order d- administering the wrong medication to the pt
C
level of orientation is assessed by determining the pt ability to correctly state:
Current time, current location, full name, situation
13. The physician comments that a patient has abdominal borborygmi. The nurse knows that this term refers to: A. Loud continual hum. B.Peritoneal friction rub. C. Hypoactive bowel sounds. D. Hyperactive bowel sounds.
D
Moderate and deep palpation of the abdomen: A. May cause tenderness B. Should not detect masses C. Should never be done over a surgical incision D. All of the above
D
The nurse is aware that one change that may occur in the gastrointestinal system of an aging adult is: A) increased salivation. B) increased liver size. C) increased esophageal emptying. D) decreased gastric acid secretion.
D
The nurse is describing a scaphoid abdomen. To the horizontal plane, a scaphoid contour of the abdomen depicts a _____ profile. A) flat B) convex C) bulging D) concave
D
The nurse suspects that a patient has a distended bladder. How should the nurse assess for this condition? A) Percuss and palpate in the lumbar region. B) Inspect and palpate in the epigastric region. C) Auscultate and percuss in the inguinal region. D) Percuss and palpate the midline area above the suprapubic bone.
D
What is included in the preparation for an assessment of the female genitalia? A. Having the patient empty the bladder B. Explaining the exam thoroughly if it is the patient's first exam C. Laying the head of the table flat D. Both A and B
D
Which of the following patients are considered at increased risk for colon cancer? A. Patients with a history of chronic inflammatory bowel disease B. Patients with a family history of adenomatous polyposis C. Patients with a history of appendicitis D. Both A and B
D
Which of the following should be included in a male genital exam? A. Teaching the patient how to do self-exams B. Palpating for abnormalities C. Retracting and replacing the foreskin in an uncircumcised patient D. All of the above
D
medical assault
Deliberate threat with the power to carry out the threat
Beneficence
Doing good or causing good to be done; kindly action
EMTALA
Emergency Medical Treatment and Active Labor Act
A woman who is 8 weeks pregnant is in the clinic for a checkup. The nurse reads on her chart that her cervix is softened and looks cyanotic. The nurse knows that the woman is exhibiting _____ sign and _____ sign. A) Tanner's; Hegar's B) Hegar's; Goodell's C) Chadwick's; Hegar's D) Goodell's; Chadwick's
Goodell's; Chadwick
HIPAA
Health Insurance Portability and Accountability Act
Which activities are appropriate for the nurse to collaborate with a patient?
Health promotion activities End-of-life comfort decisions Lifestyle changes to improve health
Autonomy in nursing
Independent nursing interventions that the nurse initiates without medical orders.
a nursing student is preparing a care plan for an assigned pt. when accessing the electronic medical record, what is acceptable information to view
Laboratory data of the assigned patient The patient's age, date of birth, and gender The history and physical of the assigned patient
scoliosis
Lateral S- or C-shaped spinal column with vertebral rotation, unequal heights of hips and shoulders
statutory law
Law passed by the U.S. Congress or state legislatures
which of the following is the intent of HIPAA
Limit the ability of health care providers to sell patient information to outside sources
MHPAEA
Mental Health Parity and Addiction Equity Act of 2008
NPA
Nurse practice act; Mandates the board to set out the scope of practice and responsibilities, oversee the practice of nursing
Advocacy in Nursing Practice
Primary commitment to the patient Prioritization of good of individual patient rather than society in general Evaluation of competing claims of patient's autonomy and patient well-being
Confidentiality
Respecting the privacy of both parties and keeping details secret
constitutional law
The body of law derived from the U.S. Constitution and the constitutions of the various states.
accountability
Willingness to take credit and blame for actions.
A nurse is caring for a patient who has just had major abdominal surgery to resect a portion of his colon. What is the most reliable sign that the patient has significant postoperative pain? A. The patient rates his pain a 7 on a scale of 0 to 10. B. The patient winces and guards the area as the nurse gently palpates the abdomen. C. The patient is having trouble sleeping and has become irritable. D. The patient is moaning softly and frowning, with a pinched expression on his face.
a
a nurse has been charged for committing a misdemeanor. which penalty will be rendered on the nurse
a fine
a 62 year old man states that his physician told him that he has a hernia. he asks the nurse to explain what a hernia is. the nurse should
a hernia is a loop of bowel protruding through a weak spot in the abdominal muscles
a 62 year old man states that his physician told him that he has a hernia. he asks the nurse to explain what a hernia is. the nurse should say
a hernia is a loop of bowel protruding through a weak spot in the abdominal muscles
Possible signs and symptoms of testicular cancer
a lump, tenderness or swelling in the scrotum or testicles unexplained weight loss breast development
expected nursing documentation includes
a nursing assessment, the care plan, interventions, the patient's outcomes or response to care,
Expected nursing documentation includes
a nursing assessment, the care plan, interventions, the patient's outcomes or response to care, and assessment of the patient's ability to manage after discharge.
petechiae
a small red or purple spot caused by bleeding into the skin.
tort
a wrongful act or an infringement of a right (other than under contract) leading to civil legal liability.
during assessment of a pt with excessive growth hormone secretion, the nurse notes enlarged jaws and facial bones. which condition is characterized
acromegaly
which option represents the dominant values in American society on individual autonomy and self- determination
advance directive
the nurse is caring for a pt who is unable to take oral meds because of persistent nausea and vomiting. the nurse decides to call the PCP and ask for a different medication administration route. this demonstrates the act of
advocacy
the nurse is caring for a pt who is unable to take oral meds because of persistent nausea and vomiting. the nurse decides to call the pcp and ask for a different medication route. this demonstrates the act of
advocacy
examples of pt that require physical restraints
an aggressive pt who has an IV line a pt who persistently displaces a urinary catheter
A 22-year-old man comes to the clinic for an examination after falling off his motorcycle and landing on his left side on the handlebars. The nurse suspects that he may have injured his spleen. Which of these statements is true regarding the assessment of the spleen in this situation?
an enlarged spleen should not be palpated because it can easily rupture
a 22 year old man comes to the clinic for an exam after falling of his motorcycle and landing on his left side on the handle bars. the nurse suspects that he may have injured his spleen. which of these statements is true regarding assessment of the spleen in this situation
an enlarged spleen should not be palpated because it can easily rupture
the nurse inspects a patient's nails and finds that the nails have concave curves. This finding suggests what condition
anemia
during the abdominal assessment the nurse elicits tenderness on light palpation in the right lower quadrant. the nurse interprets that this finding could indicate of which of these structures
appendix
during the abdominal assessment, the nurse elicits tenderness on light palpation in the right lower quadrant. the nurse interprets that this finding could indicate of which of these structures
appendix
The nurse is watching a new graduate nurse perform auscultation of a patient's abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultation precedes percussion and palpation of the abdomen?
auscultation prevents distortion of bowel sounds that might occur after percussion and palpation
Nonmaleficence
avoidance of harm or hurt
the nurse educator instructs the nursing students to not insert the urinary catheter against the will of the pt. which aspect of statutory law is being taught
battery
Nocturia, urine dribbles, difficulty voiding, and a small urine stream are common symptoms of what condition
benign prostatic hypertrophy
during a discussion for a mens health group the nurse relates that the group with the highest incidence of prostate cancer is
blacks
during a discussion for a mens health group, the nurse relates that the group with the highest incidence of prostate cancer is
blacks
the process of making a change of shift report (handoff):
can lead to pt death if done incorrectly
the process of making a handoff report
can lead to pt death if done incorrectly
what does a pap smear test for
cervical cancer
description of normal vaginal secretions
clear or cloudy, and odorless or with a slight odor
the pt has fallen when trying to climb out of bed. the nurse needs to
complete an incident report as a risk management document
scaphoid abdomen depicts a
concave profile
health policy
decisions, plans, and actions that are undertaken to achieve specific health care goals within a society
the nurse is aware that one change that may occur in the GI system of an aging adult is
decreased gastric acid secretion
During an examination of an aging male, the nurse recognizes that normal changes to expect would be:
decreased penis size
during an exam of an aging man, the nurse recognizes the normal changes to expect would be
decreased penis size
which condition characterizes strabismus
difficulty maintaining alignment in one or both eyes
which physical assessment finding is typical of arterial insufficiency
diminished or absent pulses
the nurse is caring for a pt with a progressive, degenerative muscle illness. the pt states that she would like to remain in her home with her daughter as long as possible. what action should the nurse take
discuss resources to help the pt and make appropriate referrals
the nurse is caring for a pt with progressive, degenerative muscle illness. the pt states that she would like to remain in her home with her daughter as long as possible. what action should the nurse take
discuss resources to help the pt and make appropriate referrals
DNR
do not resuscitate order
which of these statements is most appropriate when the nurse is obtaining a genitourinary history from an older man
do you get up at night to urinate
nursing documentation is an important part of effective communication among nurses and with other hcp. as such the nurse
documents facts
nursing documentation is an important part of effective communication among nurses and with other health care providers. as such, the nurse:
documents facts
which position is most suitable for an abdominal exam
dorsal recumbant
which part of the hand is most appropriate to assess a pt body temp
dorsal surface of the hand
Which of these percussion findings would the nurse expect to find in a patient with a large amount of ascites? Dullness across the abdomen Flatness in the right upper quadrant Hyperresonance in the left upper quadrant Tympany in the right and left lower quadrants
dullness
the nurse is percussing the seventh right intercostal space at the midclavicular line over the liver. which sound should the nurse expect to hear
dullness
During a health history, the patient tells the nurse, I have pain all the time in my stomach. Its worse 2 hours after I eat, but it gets better if I eat again! Based on these symptoms, the nurse suspects that the patient has which condition?
duodenal ulcer
responsibility
duty
4 D's of negligence
duty, dereliction, direct cause, damages
a pt is having difficulty swallowing medications and foods. the nurse would document that this pt has
dysphagia
a pt is having difficulty swallowing meds and food. the nurse would document that this pt has
dysphagia
The nurse knows that during an abdominal assessment,.deep palpation is used to determine:
enlarged organs
justice in nursing
equal treatment for all (treating without bias)
lordosis
exaggeration of the anterior convex curve of lumbar spine
kyphosis
excessive outward curvature of the thoracic spine, causing hunching of the back.
Which of the following is an important part of performing an abdominal assessment? A. Completing the assessment as quickly as possible B. Stopping the assessment if the patient has any tenderness C. Explaining each step of the assessment to the patient D. Having the patient talk when auscultating for bowel sounds
explaining each step of the assessment to the pt
what categories are scored in the glasgow coma scale
eye opening, best verbal response, best motor response
a 4 year old boy is brought to the ER by his mother. she says he points to his stomach and says "it hurts so bad". which pain assessment tool would be the best choice when assessing the childs pain
faces pain scale
A nurse on the unit makes an error in the calculation of the dose of medication for a critically ill patient. The patient suffered no ill consequences from the administration. The nurse decides not to report the error or file an incident report. The nurse is violating which principle of ethics?
fidelitiy
A nurse on the unit makes a error in the calculation of the dose of medication for a critically ill patient. The patient suffered no ill consequences from the administration. The nurse decides not to report the error or file an incident report. The nurse is violating which principle of ethics
fidelity
the pt requests that the nurse not reveal his cancer diagnosis to his family. the nurse keeps the info confidential. what ethical concept does the nurse reflect through this action
fidelity
A nurse notices that a patient has ascites, which indicates the presence of:
fluid
The nurse is assessing a patient for possible peptic ulcer disease. Which condition or history often causes this problem?
frequent use of nonsteroidal antiinflammatory drugs
the nurse is assisting a pt who is having an examination of the female genitalia. What action by the nurse is best?
get the provider, then assist the patient into the lithotomy position
the nurse is assisting a pt who is having an exam of the female genitalia. what action by the nurse is best
get the provider, then assist the pt into the lithotomy position
Which PPE will the nurse wear if there is a risk of a blood splash when caring for a patient?
gown, gloves, mask, eye protection
while auscultating a pt heartbeat, the nurse detects a loud murmur with palpable thrill. how does the nurse classify this finding
grade 4
Good Samaritan Law
grant immunity from suit if there is no gross negligence
the nurse manager sends an e-mail to the nursing staff as a reminder for a scheduled monthly meeting. in doing so, the nurse manager understands that email:
has the potential for miscommunication
the nurse manager sends an email to the nursing staff as a reminder for a scheduled monthly meeting. in doing so, the nurse manager understands that email
has the potential for miscommunication
which activities are appropriate for the nurse to collaborate with a pt
health promotion activities end of life comfort decision lifestyle changes to improve health
the physician comments that a pt has abdominal borborygmi. the nurse knows that this term refers to
hyperactive bowel sounds
the nurse is describing how to perform a testicular self exam to a pt. which statement is most appropriate
if you notice an enlarged testicle or a painless lump, call your HCP
HIPAA mandates that health information can be shared
in order to provide treatment for the pt to determine billing and payment issues to enhance healtch care operations related to the pt
the HIPAA mandates that health information can be shared
in order to provide treatment for the pt to determine billing and payment issues to enhance health care operations related to the pt
The nurse is sending the health info of a pt to the diagnostic lab via fax. which actions would the nurse perform before sending the fax according to HIPAA of 1996.
include a coversheet indicating the fax is confidential, ensure the fax machine is located i a confidential area, and ensure that the facility is ready to receive the transmission
which risk factors may contribute to the development of glaucoma in a patient
increased age, diabetes, migrain, low blood pressure
correct order of assessment for an abdominal examination
inspection, auscultation, percussion, palpation
what is the correct order for abdominal assessment
inspection, auscultation, percussion, palpation
medical battery
intentional and unauthorized harmful or offensive contact, occurs when a patient is treated without informed consent
which statement concerning the anal canal is true
its the outlet for the GI tract
the patient for whom a nurse is caring requires a liver transplant. this pt has been unemployed for several months and doesnt have health insurance or enough cash. which principles would be a priority in a discussion about ethics
justice because the first and greatest question in this situation is how to determine the just distribution of resources
fidelity in nursing
keeping one's promises
A patient is complaining of a sharp pain along the costovertebral angles. The nurse is aware that this symptom is most often indicative of:
kidney inflammation
which physical examination position is optimal for performing a rectal exam
knee-chest
a nursing student is preparing a care plan for an assigned pt. when accessing the electronic medical record, what is acceptable info to view
lab data of the assigned pt the pt age, DOB and gender the history and physical of the assigned pt
examples of documents that would classify as advance directives
living will health care proxies durable powers of attorney for health care
the nurse is charting using electronic documentation. with this,
log on access to the electronic record identifies the person charting
the nurse is charting using electronic documentation. with electronic documentation
log-on access to the electronic record identifies the person charting
which characteristics are typical of a pleural friction rub
low-pitched, creaking or grating sound, does not clear with coughing, heard loudest over lower lateral anterior surface
case law
made when an appellate court endorses a rule to be used in deciding court cases
what pt population does benign prostatic hypertrophy occur most commonly
males over 50 years of age
a newly licensed nurse is assigned to an experienced nurse for training on a medical unit of a hospital. what type of nurse to nurse collaboration does this assignment demonstrate
mentoring collaboration
while assessing a pt with renal disease, the nurse observes a double band of white lines on the nails. which term describes this finding
muehrcke's lines
if a verbal or phone order is necessary in an emergency, the order
must be repeated verbatim to confirm accuracy
during an eye assessment the nurse finds that a pt can clearly see close objects but cannot see distant objects. which condition does the pt have
myopia
myopia
nearsightedness
the pt has fallen when trying to climb out of bed. the nurse
needs to complete an incident report as a risk management document
A nurse is caring for a client who just suffered a stroke and is medicated for pain. The nurse completes the following interventions: places the client on the examining table, completes a thorough history and physical, covers the client with a sheet, places the call button within reach, and goes out in the hall to speak with the client's physician. The client tries to get up to speak with his family and falls, sustaining a hematoma on the head and a broken hip. The nurse's actions reflect:
negligence
a nurse is caring for a client with malignant hypertension whose blood pressure has increased by 40 mm Hg during the past hour. the nurse goes to lunch and fails to report the change to the physician. the nurse is at risk for being charged with
negligence
unintentional tort
negligence and malpractice
while examining a pt, the nurse observes abdominal pulsations between the xiphoid process and umbilicus. the nurse would suspect that these are
normal abdominal aortic pulsations
In most ethical dilemmas in health care, the solution to the dilemma requires negotiation among members of the health care team. Why is the nurse's point of view valuable?
nurses develop a relationship to the pt that is unique among all professional health care providers
during assessment, the nurse asks the pt to look to the side and quickly return the gaze to the front. the nurse notes the pt eye movements to be rapid, shaking, and involuntary. which condition has the nurse observed
nystagmus
which physical examination technique is used to detect lymph node enlargement
palpation of the lymph nodes using the pads of the fingers
The nurse is aware that one change that may occur in the gastrointestinal system of an aging adult is: A) increased salivation. B) increased liver size. C) increased esophageal emptying. D) decreased gastric acid secretion.
percuss and palpate the midline area above the suprapubic
the nurse suspects that a pt has a distended bladder. how should the nurse assess for this condition
percuss and palpate the midline area above the suprapubic bone
what will the nurse do first when preparing to apply ppe before caring for a pt in isolation
perform hand hygiene
a pt has hypoactive bowel sounds. the nurse knows that a potential cause of this is
peritonitis
what should you do if a pt is ticklish when you are palpating the abdomen
place your hand over the pt hand during palpation
a nurse is assessing pts in the unit. which action of the nurse indicates that the nurse follows fidelity.
prepare a plan to manage the pain of the pt and monitor the responses.
what is the correct way to palpate the frontal sinuses
press the thumbs against the brow bones
During an assessment of a newborn infant, the nurse recalls that pyloric stenosis would be exhibited by:
projectile vomiting
a pt abdomen is bulging and stretched in appearance. The nurse should describe this finding as
protuberant
a pt abdomen is bulging and stretched in appearance. the nurse should describe this finding as
protuberant
the pt with terminal cancer tells the nurse, "I cant bear the pain anymore; I want to commit suicide." which intervention provided by the nurse satisfies the ANA code of ethics
providing end-of-life care to the pt to alleviate pain
Although a hospital reversed all charges when a client was the victim of wrong site surgery, the court awarded the client $1.5 million. The client was able to return to work in 6 weeks and had no permanent damages. This monetary compensation is termed:
punitive damages
The nurse is assessing the abdomen of a pregnant woman who is complaining of having acid indigestion all the time. The nurse knows that esophageal reflux during pregnancy can cause:
pyrosis
while doing an initial inspection on a pt with subacute bacterial endocarditis, what changes would the nurse expect to find on the pt nails
red or purple-brown streaks in the nailbed
regulatory law
reflects decisions made by administrative bodies
When delegating patient care that requires nursing assistive personnel (NAP) to use personal protective equipment (PPE), it is necessary for the nurse to do what first?
review the pt's needs for a specific isolation precaution
when performing a neurologic assessment on a newborn infant, what reflexes should the clinician observe.
rooting reflex, sucking reflex, palmar grasp
what body areas should the nurse inspect for jaundice
sclera and hard palate
which of the following components are included in health policy at the state level
scope of nursing practice
a nurse has been working with a pt for the entire shift. what action by the nurse is unacceptable
sharing a personal mobile phone number
a nurse has been working with a pt for the entire shift. which action by the nurse is unacceptable.
sharing a personal mobile phone number
what structure is located in the LLQ of the abdomen
sigmoid colon
which structure is located in the LLQ of the abdomen
sigmoid colon
which structure is located in the left lower quadrant of the abdomen
sigmoid colon
criminal law protect
society by providing punishment for crimes
slander
spoken defamation
Which level of government is responsible for the regulation of a nurse's license?
state government
how should the pt be positioned during a physical exam for palpation of the right breast
supine with the right arm raised over the head
which pt scenario describes the best example of professional collaboration
the nurse and physician discuss the pts muscle weakness and initiate a referral for physical therapy
public policy
the principles, often unwritten, on which social laws are based.
the nurse is examining a pt ears and notices cerumen in the external canal. which of these statements about cerumen is correct?
the purpose of cerumen is to protect and lubricate the ear
civil laws protect
the rights of individuals in the society
a nurse is planning care for a pt going into surgery. who is responsible for informing the pt about the surgery along with possible risks, complications, and benefits?
the surgeon
Utilitarianism proposes that
the value of something is determined by its usefulness to society
When removing a gown worn as personal protective equipment (PPE) while caring for a patient in isolation, why does the nurse avoid touching the outside of the gown?
to prevent touching contaminated material with unprotected hands
veracity
truthfulness
screening for endometrial cancer consists of reinforcing the need to report:
unexpected vaginal bleeding or spotting
during an exam the nurse observes a female pt vestibule and expects to see the
urethral meatus and vaginal orifice
during an exam, the nurse observes a female pt vestibule and expects to see the
urethral meatus and vaginal orifice
A male patient suffered a brain injury from a motor vehicle accident and has no brain activity. The spouse has come up to see the patient every day for the past 2 months. She asks the nurse, "Do you think when he moves his hands he is responding to my voice?" The nurse feels bad because she believes the movements are involuntary, and the prognosis is grim for this patient. She states, "He can hear you, and it appears he did respond to your voice." The nurse is violating which principle of ethic
veracity
A male patient suffered a brain injury from a motor vehicle accident and has no brain activity. The spouse has come up to see the patient every day for the past 2 months. She asks the nurse, "Do you think when he moves his hands he is responding to my voice?" The nurse feels bad because she believes the movements are involuntary, and the prognosis is grim for this patient. She states, "He can hear you, and it appears he did respond to your voice." The nurse is violating which principle of ethics?
veracity
examples of primary skin lesions
warts, bug bites, petechiae
a pt has been admitted to an acute care hospital unit. the nurse explains the hospital philosophy that the pt be an active part of planning their care. the pt verbalizes understanding of this request when they make which statement
we can work together to adjust my plan as we need to
libel
written defamation
which condition is characterized by yellowish, irregularly shaped, slightly raised lesions around the eyes
xanthelasma
