Directions: The question below is followed by six choices numbered 260-265. If a choice is correct, mark A in the space provided. If a choice is not correct, mark B. Blacken one circle on your answer sheet for each number. The nurse is explaining the Bill of Rights for psychiatric patients to a client who has voluntarily sought admission to an inpatient psychiatric facility. Which of the following rights should the nurse include in the discussion Right to confidentiality.
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Directions: The question below is followed by six choices numbered 260-265. If a choice is correct, mark A in the space provided. If a choice is not correct, mark B. Blacken one circle on your answer sheet for each number. The nurse is explaining the Bill of Rights for psychiatric patients to a client who has voluntarily sought admission to an inpatient psychiatric facility. Which of the following rights should the nurse include in the discussion Right to refuse treatment.
A multigravida at 36 weeks’ gestation visits the emergency department because her boyfriend has beaten her severely. What should the nurse do first
A. Contact the authorities.
B. Ensure the client’s safety.
C. Identify a support person.
D. Photograph the client’s injuries.
A 10-month-old girl with bronchitis is taken out of the 30% oxygen tent for breakfast because she refuses to eat unless in a high chair. During the feeding, the nurse notes that the child’s respiratory rate has increased, she is becoming more irritable, and she is using accessory muscles to breathe. Which of the following should be the nurse’s first action
A. Perform postural drainage then complete the feeding.
B. Suction the child’s nose with a bulb syringe.
C. Discontinue the feeding and place the child back in the tent.
D. Assess the pulse rate and respirations and notify the physician.
An unconscious client has been admitted with a head injury. Which of the following nursing diagnoses would receive the greatest priority in the plan of care
A. Disturbed sensory perception related to decreased level of consciousness.
B. Ineffective airway clearance related to inability to remove respiratory secretions.
C. Impaired gas exchange related to shallow irregular breathing.
D. Risk for injury related to disorientation and decreased level of consciousness.