1.A client using fentanyl (Duragesic) transdermal patches for pain management in late-stage cancer dies.
What should the hospice nurse who is caring for this client do about the patch?
A.Tell the family to remove and dispose of the patch.
B.Leave the patch in place for the mortician to remove.
C Have the family return the patch to the pharmacy for disposal.
D.Remove and dispose of the patch in an appropriate receptacle.
2.What is a nurse’s responsibility when administering prescribed opioid analgesics?
Select all that apply.
A.Count the client’s respirations.
B.Document the intensity of the client’s pain.
C.Withhold the medication if the client reports pruritus.
D.Verify the number of doses in the locked cabinet before administering the prescribed dose.
E.Discard the medication in the client’s toilet before leaving the room if the medication is refused.
3.Which nursing behavior is an intentional tort?
A.Miscounting gauze pads during a client’s surgery
B.Causing a burn when applying a wet dressing to a client’s extremity
C.Divulging private information about a client’s health status to the media
D.Failing to monitor a client’s blood pressure before administering an antihypertensive
4.Twenty-four hours after a cesarean birth, a client elects to sign herself and her baby out of the hospital. Staff members are unable to contact her health care provider.
The client arrives at the nursery and asks that her infant be given to her to take home. What is the most appropriate nursing action?
A.Give the infant to the client and instruct her regarding the infant’s care.
B.Explain to the client that she can leave, but her infant must remain in the hospital.
C.Emphasize to the client that the infant is a minor and legally must remain until orders are received.
D.Tell the client that hospital policy prevents the staff from releasing the infant until ready for discharge.
5.A client is hospitalized because of severe depression. The client refuses to eat, stays in bed most of the time, does not talk with family members, and will not leave the room. The nurse attempts to initiate a conversation by asking questions but receives no answers.
Finally the nurse tells the client that if there is no response, the nurse will leave and the client will remain alone. How should the nurse’s behavior be interpreted?
A. A system of rewards and punishment is being used to motivate the client.
B.Leaving the client alone allows time for the nurse to think of other strategies.
C.This behavior indicates the client’s desire for solitude that the nurse is respecting.
D.This threat is considered assault, and the nurse should not have reacted in this manner