Health Care System/Organizations

A client recovering from hip replacement surgery questions the need for admission to a rehabilitation center because there are family members available at home to provide care. Which response by the nurse is best?

"The rehabilitation staff can evaluate your progress and help you recover without risking injury."

A nurse is scheduled to perform an initial home visit to a new client who is beginning home intravenous therapy. As the nurse is getting out of the car and beginning to approach the client's building, a group of people begin following and jeering at the nurse. Which is the nurse's best response to this situation?

Leave the area in the car, provided the nurse can get to it safely.

Which measure should a home healthcare nurse implement to minimize the potential for lawsuits?

Perform thorough, accurate, and timely documentation.

In addressing health promotion for a patient who is a member of another culture, the nurse should be guided by which principle?

The client may have a very different understanding of health promotion.

A client who has been treated initially in the emergency department for a leg wound from a fall is waiting for care provider evaluation. The client says, "I am tired of waiting, and I am going to leave." The nurse explains that it is important to wait to ensure that there are no other injuries. The client tells the nurse, "I am going to leave. I am not waiting around here any longer. My leg is fine." Which response by the nurse would be most appropriate?

Notify the care provider of the client's intent to leave.

An uninsured client has been seen in the emergency department for an upper respiratory infection. During the discharge process, the client tells the nurse that health care is too expensive. What is the best action for the nurse?

Provide the client a list of available clinics near the hospital area

A nurse is providing home care to a client with a foot ulcer related to diabetes. The client needs daily insulin injections. Family caregivers do not possess the technical skills to inject insulin. Which should the nurse keep in mind?

The nurse needs to be creative in integrating the technical and relational aspects of care.

Which intervention is an example of primary prevention?

administering a measles, mumps, and rubella immunization to an infant

The nurse is preparing to begin discharge planning with a client whose pulmonary embolism has recently resolved. Which factor should the nurse prioritize during this process?

the client's identified needs and goals

The wife of a client with end-stage acquired immunodeficiency syndrome (AIDS) is caring for her husband at home. The hematologist recommends hospice care and the couple agrees. During the initial admission visit, the hospice nurse provides information to the client and his family about an advance directive. During the next day's visit, the client states that since he and his wife filled out the advance directive form, he feels abandoned by his physician. Which statement by the hospice nurse best addresses the client's concerns?

"Your physician will continue to care for you. The advance directive simply puts in writing the care you want, so the physician will be able to provide it if you can't tell him yourself."

In anticipation of discharge, a nurse is teaching the caregiver of an elderly client how to change the dressing on the client's venous ulcer. Which teaching strategy is most likely to be effective?

Demonstrate and explain the procedure and then have the caregiver perform it.

A client admitted with bacterial meningitis must be transported to the radiology department for a repeat computed tomography scan of the head. The client's level of consciousness is decreased, and they require nasopharyngeal suctioning before transport. Which infection control measures are best when caring for this client?

Put on gloves, a mask, and eye protection during suctioning, and then apply a mask to the client's face for transport.

In preparation for discharge, the nurse is reviewing information related to new dietary guidelines with the client. This is an example of which step in discharge planning?

providing client teaching

A client was admitted to the hospital 2 weeks ago following an ischemic stroke. Following the early introduction of stroke rehabilitation, the client has seen significant improvements in both medical status and activities of daily living (ADLs). This morning, however, the nurse notes that the client has been coughing since eating a minced and pureed breakfast. Auscultation of the chest reveals coarse crackles. Which practitioners should the nurse liaise with to obtain a swallowing assessment?

speech therapist

The nurse recognizes that the goals established for a client's discharge are more likely to be accomplished when

the client assists in developing the goals.

A nurse is working on the pediatric unit. Which assignment best demonstrates primary care nursing?

caring for the same child from admission to discharge

A client has received numerous different antibiotics and now is experiencing diarrhea. What type of precautions should the nurse institute?

contact precautions

The nurse is assessing home care needs for a group of clients. Which clients qualify for home care services? Select all that apply.

-the client who has episodes of vertigo that result in falls -the client who has multiple sclerosis with an open, draining lesion on a foot

A hospital safety officer is evaluating nurses' responses to potential safety hazards. Which employee actions are appropriate for the situation? Select all that apply.

-taking small steps with feet shoulder length apart when walking on wet surfaces. -removing clients from the area where a fire is reported. -using tongs to place a dislodged radioactive device in a lead container.

A nurse implements a healthcare facility's disaster plan. Which action should be performed first?

Identify a command center at which activities are coordinated. During a disaster, having a command center to provide direction and coordinate activities is crucial. Cellular phones and pagers may be essential communication tools during a disaster. Essential off-duty personnel should respond to a disaster as quickly as possible. Admitted clients should be triaged and treated in accordance with the facility's triage policy.

A client with granulocytopenia has many visitors. To prevent infection what is the most important thing the nurse should tell the visitors to do?

Wash their hands.

The nurse enters the nondiabetic client's room shortly after a group of health care providers has made rounds. The client asks, "Why did the doctor tell the others that I am not compliant with my diabetes regimen?" The nurse is aware that which ethical principle has been violated?

confidentiality

An employer establishes a physical exercise area in the workplace and encourages all employees to use it. This is an example of which level of health promotion?

primary prevention

A client hospitalized for a round of chemotherapy reports being very distressed at being unable to sleep because of a series of roommates who have been actively withdrawing from opioids. The nurse responds that they must accept clients who are detoxing from prescribed and illicit drugs. Which action should the nurse take?

Explore difficulties, identify solutions, and negotiate short-term aids.