Ethical / Legal QuestionDifficulty
During your nursing orientation in the cardiac intensive care unit, your preceptor has asked you to look up the nursing policy on internal urinary catheter insertion, care, and removal. Which of the following should have been considered when this policy was created to ensure the most appropriate care is being provided? Select all that apply....
You were informed that a few hours ago, your patient along with their support system decided to become a DNR. What else should be completed to ensure that the DNR is appropriately and smoothly implemented? Select all that apply....
You are just meeting your patient who was in a motor vehicle accident a few days ago and had to have surgery for a few fractures. They are medically stable and will most likely be discharged within 24-48 hours home. The physician has begun putting in pending discharge orders for multiple follow-up appointments, medications (antibiotic, pain meds, stool softener, and more), labs, and x-rays. In your conversation with the patient, you learn that they are a very devote member of the Church of Christian Science. Because you are a culturally aware nurse, you know that many of this faith avoid most medical treatment and rely on prayer. What can you do before the patient is discharged to hopefully maximize compliance?...
You just got off the phone with the cardiovascular surgeon. She informed you that your patient will need a below the knee amputation. She is going to talk to the OR scheduling team to get him on the schedule as soon as possible. He is from Vietnam, speaks some English, and from what you can tell he is completely alert and oriented. His wife does not speak English, but his children speak English very well. The surgeon stated she would be at the bedside to inform the family within the hour and provide a surgery time. What is your number one priority right now, as it pertains to surgery?...
Your patient would like to pray facing east five times each day. You would like to provide appropriate culturally supportive and sensitive care for this patient. Which of the following options would NOT be part of this process or your role as the patient’s nurse?...
A nurse over hears two employees talking about a clients poor hygiene. Which of the following actions should the nurse take first?...
A client is having her yearly check up at the doctors office and asks the nurse, “If I appoint a power of attorney do I lose my right to make medical decisions?” Which of the following responses is best?...
The nurse is going over discharge paperwork with a client. While educating the client on decreasing risks of falls such as removing rugs and keeping walkways clear of clutter, the client starts to cry. The nurse finds out the client is homeless. Which of the following should the nurse do for the client?...
A 70 year old client is diagnosed with pneumonia. The treatement plan includes antibiotics, breathing treatments and incentive spirometer use. The client is alert and oriented to person, place, time, and situation. They are on 2L nasal cannula without any signs or symptoms of distress. The client states, “I do not want to have any antibiotics, I just want this to run it’s course.” The nurse knows this client has a durable power of attorney. Which of the following should the nurse do?...
A 15 year old female comes into the emergency room seeking medical treatment for injury to her right ankle. Her parents are not with her to sign any consent to treat. The nurse knows that which of the following would permit this client to legally sign for themselves?...
The nurse is speaking with the family members about the plan of care and the clients daughter states, “Her living will was to not be intubated.” The nurse knows that she should do which of the following?...
A nurse knows that returning any unused medical equipment to central processing is a way to do what for her unit and clients?...
A nurse is getting his or her assignments and feels that the assignments are innappropriate. The nurse is decides to not take the assignment but doesn’t get someone else to take the assignment. What is the most likely outcome?...
A nurse is performing post-mortem care on a patient who has just died. Which of the following actions should be included as part of post-mortem care? Select...
A patient in the hospital has just expired. Which of the following personnel must the nurse notify in the event of a patient’s death? Select all that apply....
A nurse is caring for a patient who is recovering from surgery and is in pain at the incision site. The nurse has administered some medications to help control...
A healthcare office provides immunizations for children and adults in the community. The nurse is preparing Vaccine Information Sheets (VIS) to give to...
Which best describes a healthcare proxy as part of an advance directive?...
A 67-year-old patient is being admitted to the hospital for surgery. Which best describes an example of an assessment parameter used by the nurse to determine...
A nurse must call a physician about a patients changing health status. It is 3 am. Which best describes how a nurse would act as a patient advocate?...