The nurse recognizes that an ongoing assessment will help set priorities in the nursing care plan of a long-term care resident. What does this allow the planning process to become?
a. Timely
b. Patient-centered
c. Preferential
d. Categorized
ANS: B
The planning process must be patient-centered.
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To assess the apical pulse, the nurse should place the stethoscope on the:
a. third intercostal space to the right of the midclavicular line. b. fifth intercostal space to the left of the midclavicular line. c. sixth intercostal space at the midclavicular line. d. seventh intercostal space to the left of the midclavicular line.
The nurse is developing a plan of care for a recently admitted client. The nurse recognizes that the basis for the plan and implementation of care is (are):
1. The nursing diagnosis 2. The objective data 3. The subjective data 4. Client goals
The most common cause of exophthalmos is _______________
Fill in the blank(s) with correct word
The nurse is teaching a client with blocked nasal passages who uses intranasal steroid products that the client should be advised to:
a. use a decongestant shortly before administration of the steroid product. b. use an antihistamine shortly before administration of the steroid product. c. also use a combination antihistamine-decongestant product for maximum effectiveness. d. avoid using any other drugs that affect the nasal mucosa.