pnc exam 4 questions and answers with complete act
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PNC Exam 4
A client from a correctional facility is admitted to the hospital wearing handcuffs. The nurse
caring for the client needs to provide morning care and notices the two correctional officers
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socializing with the nursing staff at the desk. What is the best action by the nurse in this
situation? - -Insist that the officers stay in the room at all times.
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A client is experiencing difficulty swallowing a large oral tablet. What action by the nurse
would be most appropriate? - -Check to determine whether the drug can be crushed or
mixed with food
A client with end-stage pulmonary hypertension tells the physician they don't want any heroic
measures should their heart stop, and doesn't want to be placed on a ventilator. The
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physician enters a do-not-resuscitate order into the hospital's computer system. Which
ethical principle is the nurse upholding by supporting the client's decision? - -autonomy
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A nurse finds that a colleague is intoxicated while on duty. What appropriate action would the
nurse take? - -Inform the nursing supervisor
A nurse in a hospice facility cares for clients with terminal illnesses and witnesses a great
deal of pain and emotional distress. Which factor that affects healthcare ethics determines
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how the nurse must respond when a client asks for help in ending his or her suffering? -
-Legislative and judicial decisions
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A nurse is acting inappropriately and has an odor of alcohol. This behavior breaches the
principle of: - -ethical conduct
A nurse is present when a health care provider tells a couple that the results of their genetic
testing came back normal. Later, the nurse notes that the completed genetic report identifies
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the couple positive for a genetic disorder. What is the most appropriate action by the nurse?
- -Report it to the nursing supervisor.
A nurse is providing care for a child diagnosed with beta-thalassemia who is receiving a
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blood transfusion. The child reports being bored and asks to go to the playroom. What is the
bestaction for the nurse to take? - -Have a child-life specialist find an appropriate
activity to occupy the child during the transfusion.
A nurse is providing home care to a client with a foot ulcer related to diabetes. The client
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needs daily insulin injections. Family caregivers do not possess the technical skills to inject
insulin. Which should the nurse keep in mind? - -The nurse needs to be creative in
integrating the technical and relational aspects of care
A nurse notices that a neighbor has been admitted to an inpatient psychiatric unit. The nurse
understands that the nurse may not discuss this with any of the nurse's family or neighbors,
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because doing so would breach the client's confidentiality. Confidentiality is a component of
which element of the therapeutic relationship? - -Trust
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