HURST WEEK 5

What action by the nurse is most helpful when responding to a bomb threat phone call?

1. Ask where and when the bomb is going to explode.

A client at 31 weeks gestation is being seen by the primary healthcare provider for reports of generalized illness. When assessing the client, the nurse would immediately report what symptom to the primary health care provider?

1. Right upper quadrant pain

The client's family member calls the nurses' station stating their spouse is "not breathing." What action will the nurse take next?

2. Palpate carotid pulse.

After the unexpected death of a Jewish teenager, the coroner tells the family that an autopsy has been requested. The teen's mother starts crying hysterically and refuses to allow the autopsy. After calming the mother, what should the nurse do next?

3. Notify the coroner that the family is Jewish.

The nurse is evaluating an elderly bedridden client for possible fecal impaction. What sign/symptom should the nurse report as most indicative for a fecal impaction?

4. Constipation with liquid seepage