A client with cancer expresses interest in increasing his activity level. The nurse begins by as-sessing baseline data regarding the client's current activity patterns
The nurse uses professional standards to develop a plan of care for this client. Professional standards are important because they:
1. Are developed by government agencies
2. Establish scientifically proven guidelines
3. Shift responsibility for the plan of care from the nurse
4. Are required by all healthcare organizations
ANS: 2
Standards of care often establish scientifically proven guidelines for selecting effective nursing interventions.
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A 20-year-old woman you see in a prenatal clinic has an accessory nipple. Which of the following teaching points would be most important to make with her?
A) The tendency for accessory nipples is familial. B) Such growths fade with menopause. C) Bleeding from such growths is not uncommon. D) Such growths deepen in color during pregnancy.
A client had a bronchoscopy 2 hours ago and is requesting water to drink. Which action by the nurse is most appropriate?
a. Call the physician and request an order for food and water. b. Give the client ice chips instead of a drink of water. c. Assess the client's gag reflex before giving anything. d. Let the client have a small sip to see whether he or she can swallow.
Many different factors affect growth and development. For example, why does Mary have blonde hair and blue eyes while John has brown hair and green eyes?
A) childhood illnesses C) prenatal influences B) genetic inheritance D) maternal nutrition
The nurse is educating a student nurse on caring for a patient with a chest tube. Which statement from the student nurse indicates successful learning?
a. "I should clamp the chest tube when giving the patient a bed bath." b. "I should report if I see continuous bubbling in the water-seal chamber." c. "I should strip the drains on the chest tube every hour to promote drainage." d. "I should notify the health care provider first, if the chest tube becomes dislodged."