Question

46. Which situation(s) are classified as natural disasters? Select all that apply. a. Blizzards b. Terrorist attacks e. Volcanic eruptions d. Structural collapse e. Communicable diseases 47. The nurse employed in a mental health clinic is greeted by a neighbor who says, "How is Michelle doing? She is my best friend and is seen at your clinic every week. Which is the most appropriate nursing response? a. "I know you are really concerned, so I will share with you that she is doing much better than before, b. "I'm not supposed to discuss this, but because you are her best friend I can tell you that she really has problems! c. "If you want to know about Michelle's progress, I suggest you ask her yourself. I'm not allowed to discuss this with you." d "I'm sorry and I'm sure you will understand, but as a nurse, I'm obligated to protect the privacy of all the clients I encounter. I cannot disclose any client information." 48. From the following list of nursing activities, select those that may be delegated to the licensed practical nurse or licensed vocational nurse (LPN/ LVN). Select all that apply. a. Assessment b. Urinary catheterization c. Endotracheal suctioning d. Intramuscular medication administration e. Subcutaneous medication administration f. Medication administration by intravenous push 49. The nurse assigned to four clients reviews client data at the beginning of the shift, Which client data should be further obtained as the highest priority? a. Hemoglobin 12.2 g/dL b. Potassium level 3.6 mEq/L c. Pulse oximetry reading 89% d. Urine output 240 mL/ 8 hours 50. A client with Alzheimer's dementia is being admitted to a long-term care facility. The client is widowed and previously lived at home alone. Which person would be acceptable to sign an advance directive, specifically with regard to resuscitative orders on behalf of this client? a. The client b. The social worker c. The client's daughter d. The health care provider 51. The nurse is caring for older clients and suspects physical abuse. Which client is most at risk for abuse? a. The older client who is independent with activities of daily living b. The older client who attends many church activities and volunteers on a regular basis c. The older client who is dependent on children to manage instrumental activities of daily living d. The older client whose caregiver states, "I really enjoy spending so much time with my mother."

Answer 1

46. The correct options are a, c,d because these are disasters caused due to disturbances in the nature .

47. The correct option is d) I am sorry and I am sure ,you will understand but as a nurse . I am obligated to protect the privacy of all the clients I encounter . I cannot disclose any client information .

48. The correct option are - a ,b, e, f .

49. The correct option is c ) pulse oximetry reading 89% because normal saturation ranges between 95 to 100 . The patient might need oxygen support to avoid further complications . So, this will be the highest priority .