A nurse is caring for a young patient on a ventilator with no brain activity.

The physician discusses options with the family, one of which is removing life support and allowing the patient to die.

The nurse recognizes a decisional conflict related to religious beliefs and treatment options.

The nurse utilizes the HOPE Tool for spiritual assessment.

Which question is NOT part of the HOPE Tool?

A nurse is caring for a client whose family is in a state of disagreement over the care of their family member.
The nurse should report the situation to which of the following facility personnel?

In individuals who have appendicitis, the pain will typically localize to McBurney’s point.
Which quadrant of the abdomen is McBurney’s point found?

The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis who is scheduled for surgery in 2 hours. The client begins to complain of increased abdominal pain and begins to vomit. On assessment, the nurse notes the abdomen is distended and bowel sounds are diminished.
Which is the most appropriate nursing intervention?

The nurse is conducting an assessment on a client who is 36 hours postoperative following an appendectomy. During the assessment, the nurse is unable to hear any bowel sounds. The client denies passing flatus (gas). Given this information, which action is most appropriate by the nurse?

A nurse is caring for a patient with a BMI of.
Appropriate nursing interventions include:

A nurse is preparing an in-service presentation about preventing health care associated infections (HAIs).
The nurse should include which of the following as a common cause of these infections?

While preparing a client for surgery, the nurse marks the arm that is to be amputated and participates in a “time-out” procedure before the surgery begins.
Which sentinel event is this action intended to prevent?

A charge nurse is providing an inservice for staff nurses on the use of new IV pumps.
Which of the following actions should the charge nurse take to best evaluate staff competency with the new equipment?

A nurse working in the PACU (post-anesthesia care unit)/recovery room unit is monitoring a patient whose vital signs were stable upon arrival from the operating room. The patient’s temperature began to rise steadily the past 20 minutes and continues to rise, the heart monitor shows sinus tachycardia with a rate of 122, the patient’s blood pressure is 86/42, and pulse ox is 88% on 2 L O2 via nasal cannula.
The nurse suspects which genetic condition?

An elderly client is admitted to the hospital looking unkempt, with dirty clothing, and she smells of urine.
The nurse is aware this may be: