The nurse enters the patient’s room to answer the call bell and sees the patient frantically pointing to the trash can next to the bed. The nurse smells smoke and sees small flames. What can be done to help prevent fires, and what should the nurse do in this situation?
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The nurse enters the patient’s room to answer the call bell and sees the patient frantically pointing to the trash can next to the bed. The nurse smells smoke and sees small flames. What can be done to help prevent fires, and what should the nurse do in this situation?
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- A nurse administers the wrong medication to a patient and thepatient is harmed. The physician who ordered the medicationdid not read the documentation that the patient was allergicto the drug. Which statement is true regarding liability for theadministration of the wrong medication?a. The nurse is not responsible, because the nurse was merelyfollowing the doctor’s orders.b. Only the nurse is responsible, because the nurse actuallyadministered the medication.c. Only the physician is responsible, because the physicianactually ordered the drug.d. Both the nurse and the physician are responsible for theirrespective actions.A nurse is teaching a patient how to use a meter-dosedinhaler for her asthma. Which comments from the patientassure the nurse that the teaching has been effective? Selectall that apply.a. “I will be careful not to shake up the canister beforeusing it.”b. “I will hold the canister upside-down when using it.” c. “I will inhale the medication through my nose.”d. “I will continue to inhale when the cold propellant is in mythroat.”e. “I will only inhale one spray with one breath.”f. “I will activate the device while continuing to inhale.”A visiting nurse is performing a family assessment of ayoung couple caring for their newborn who was diagnosedwith cerebral palsy. The nurse notes that the mother’s hairand clothing are unkempt, the house is untidy, and themother states that she is “so busy with the baby that I don’thave time to do anything else.” What would be the priorityintervention for this family?a. Arrange to have the infant removed from the home.b. Inform other members of the family of the situation. c. Increase the number of visits by the visiting nurse.d. Notify the care provider and recommend respite care forthe mother.
- A nurse is caring for a 25-year-old male patient who is coma-tose following a head injury. The patient has several piercings in his ears and nose. The piercing in his nose appears to benew and is crusted and slightly inflamed. Which action wouldbe appropriate when caring for this patient’s piercings?a. Do not remove or wash the piercings without permissionfrom the patient.b. Rinse the sites with warm water and remove crusts with acotton swab.c. Wash the sites with alcohol and apply an antibioticointment.d. Remove the jewelry and allow the sites to heal over.A nurse is providing postmortem care. Which nursing actionviolates the standards of caring for the body after a patienthas been pronounced dead and is not scheduled for anautopsy?a. The nurse places the patient in a sitting position while thefamily visits.b. The nurse places identification tags on both the shroud andthe ankle.c. The nurse removes soiled dressings and tubes.d. The nurse makes sure a death certificate is issued andsigned.You are working the night shift on a medical-surgical unit. You assignment includes a 19 year old woman admitted early this morning. She has sustained burns over 30% of her body surface area, with partial-thickness burns on her legs and back. Instructions Briefly discuss the following:. The client was sleeping when the fire started and managed to make her way out of the house through thick smoke. You are concerned about possible smoke inhalation. What assessment finding would corroborate this concern?
- A nurse is inserting a nasogastric tube ordered for a patientto monitor bleeding in his GI tract. When the tube is beingpassed through the pharynx, the patient begins to cough andshow signs of respiratory distress. What would be the priorityaction of the nurse upon this assessment?a. Keep the tube in place and notify the primary care providerimmediately.b. Stop advancing the tube and pull it back into the nasalarea.c. Ask the patient if he wants the nurse to stop the procedure.d. Call for help to perform CPR.A patient who has a large abdominal wound suddenly callsout for help because she feels as though something is fallingout of her incision. Inspection reveals a gaping open woundwith tissue bulging outward. In which order should the nurseperform the following interventions? Arrange from first to last.a. Notify the physician immediately of the situation.b. Cover the exposed tissue with sterile towels moistenedwith sterile NSS.c. Place the patient in the low Fowler’s position.A nurse is providing postural drainage for a patient withcystic fibrosis. In which position should the nurse place thepatient to drain the right lobe of the lung?a. High Fowler’s positionb. Left side with pillow under chest wallc. Lying position/half on abdomen and half on sided. Trendelenberg position
- Nurse Patricia is caring for a patient with Pulmonary Tuberculosis in the emergency room. The hospital doesn't have any private room for isolation.The nurse is caring for a patient a toddler in the pediatric unit who is about to receive stitches for an abrasion to his upper arm. They both are concerned about the procedure being painful. What can the nurse tell both the parent and child that will alleviate the fears of pain? A. We will ask the parents to leave the room so the child will quiet down. B. We will apply topical lidocaine on the affected area prior to procedure, so he will not any pain during the procedure. C. We will administer inhaled gases for anesthesia, prior to procedure, so he will not any pain during the procedure. D. Ask the parents to stay the room and hold the child’s hand so the child will quiet down. 2. The nurse is reviewing types of anesthesia with newly student nurses during their clinical rotation. The students are correct when they state which type(s) of anesthesia is/are administered using lidocaine? (Select all that apply.) Which ones are included in balanced anesthesia? Select all that apply.…A nurse is assessing the vital signs of patients who presentedat the emergency department. Based on the knowledge ofage-related variations in normal vital signs, which patientswould the nurse document as having a normal vital sign?Select all that apply.a. A 4-month old infant whose temperature is 38.1°C(100.5°F)b. A 3-year old whose blood pressure is 118/80c. A 9-year old whose temperature is 39°C (102.2°F)d. An adolescent whose pulse rate is 70 bpme. An adult whose respiratory rate is 20 bpmf. A 72-year old whose pulse rate is 42 bpm