Safety Unit pt 2

A client in the emergency department waiting room is showing signs of respiratory symptoms. The nurse should inform the client to keep approximately what distance from others?

3 ft

_______________ address the fact that any individual or object in the patient care area could be infected or contaminated.

CDC guideliness

For which client would the use of standard precautions alone be appropriate?

an incontinent client in a nursing home who has diarrhea

The nurse is performing discharge teaching with the family of a male client who has limited mobility and a significant cognitive deficit. The nurse has described the phenomenon of foot drop to the client's family and should describe what intervention to prevent its development?

applying a foot splint correctly to maintain neutral foot positioning

The client states, "I hate this place. I want to go home. No one listens to me, and my doctor has not been in to see me today." The client's arms are folded across his chest. His brow is furrowed, and he will not allow morning vital sign measurements. Which entry should be included in the nurse's charting? Select all that apply.

arms folded across chest and brow is furrowed states, "I hate this place. I want to go home. No one listens to me and my doctor has not been in to see me today" will not allow morning vital sign measurements

The nurse is teaching a new graduate nurse about the most common causes of back injuries. The nurse knows that the new graduate understands the concepts of back injuries when the graduate states that back injuries:

can occur when uncooperative clients are being repositioned.

What is the primary purpose of the client record?

communication

When turning a client in bed, what positioning instructions would the nurse give the client before using the friction-reducing sheet to turn the client?

cross the arms across the chest and cross the legs

An obstetrics nurse is preparing to help a client up from her bed and to the bathroom 3 hours after the woman gave birth. Which action should the nurse perform first?

explain to the client how the nurse will assist her

A client is discharged to his daughter's home. He weighs 250 lb (113.4 kg) and is immobile. The nurse should instruct the daughter on the use of a:

hydraulic lift. A hydraulic mechanical lift is used to raise and transfer an obese or helpless client to some other location

Low-risk actions are those that involve contact with ________. The bell and diaphragm of a stethoscope should be cleansed with alcohol between patients, and should also be folded and placed __________ between uses.

intact skin in pocket

teology deontology

is ethical decision-making based on final outcomes. It is also known as utilitarianism ethical decision-making based on duty or moral obligations.

Coercive or punishment power legitimate power Expert power Referent power informational power,

is the ability to threaten or punish someone who fails to meet expectations. through a designated position, which also may be referred to as authority results from knowledge, expertise, or experience in a particular area. power a person has because of his or her association with others who are powerful. For example, society perceives that physicians are powerful. A new physician may use this referent power to his or her advantage. which exists when a person has information that others need to accomplish certain goals.

Veracity Nonmaleficence

not being misleading doing no harm

A nurse is helping a client stand up from a lying position. What can the nurse do to improve the base of support?

nurse feet wider apart

A nurse is caring for a client with demobilized respiratory secretions. Which device will bestmobilize respiratory secretions?

oscillating support bed

A 74-year-old client has kyphosis and is reporting discomfort of the cervical vertebrate. Which nursing intervention is most appropriate?

placing small towel under neck

A nurse is caring for an 85-year-old client in an extended-care facility. What position will the nurse recommend to help prevent skin breakdown? You Selected:

prone posistion

A nurse is caring for a client with dyspnea. How will the nurse control the speed when repositioning the client?

shifting hands from the posterior of the shoulder and hip to the anterior as the client rolls toward the client's abdomen

The nurse would like to promote ventilation in a client with chronic obstructive pulmonary disease by elevating the client's arms. What intervention should the nurse implement?

small pillow under each arm

In what type of documentation does a nurse record narrative notes in a nursing section?

source oriented

In an annual message to hospital staff, the CEO of an acute care facility indicated that additional cost-saving measures would be implemented in order to decrease the potential of staff reductions to balance the budget. Understanding that excellent care also includes being frugal with resources, a nurse considers methods of resource management. Which of the following is notprudent resource management?

taking extra dressings to a room

A nurse is preparing to document care provided to a client. What would be most appropriate for the nurse to do to ensure that the documentation is concise?

use phrases in narratives