A nurse is performing a physical assessment on a patient and instructs the patient to stand with his feet together and arms at his side. The purpose of positioning the patient in this manner is to test which of the following?
A.Balance
B. Muscle strength
C. Reflexes
D. Coordination
A.Balance
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A nurse assesses the fetal position in a laboring woman. The fetal position is documented as LSP. What action by the nurse is best?
A. Continue to support the woman's labor efforts. B. Document the findings in the woman's chart. C. Inform the provider; prepare for possible cesarean delivery. D. Turn the woman on her left side; reassess in 30 minutes.
A patient is admitted to the hospital with injuries from a motor vehicle collision. During the nurse's initial assessment, the patient develops hypotension and severe jugular distention with a tracheal deviation
The nurse should act quickly to treat which probable condition? 1. Tension pneumothorax 2. Hemorrhage 3. Compensatory shock 4. Hypovolemic shock
A patient has been assigned the nursing diagnosis of imbalanced nutrition: less than body requirements related to painful oral ulcers. Which nursing action will be most effective in improving oral intake?
a. Offer the patient frequent small snacks between meals. b. Assist the patient to choose favorite foods from the menu. c. Provide teaching about the importance of nutritional intake. d. Apply the ordered anesthetic gel to oral lesions before meals.
Nurses need to provide competent care to young and middle adult patients. Why must nurses be knowledgeable about developmental theories to care for this group? (Select all that apply.)
a. These theories provide nurses with a basis for understanding the life events and developmental tasks of young and middle adults. b. It is important to understand societal structures and roles because they have not changed in the past 20 or 30 years. c. Patients present challenges to nurses, who themselves are often young or middle adults coping with the demands of their respective developmental period. d. Nurses need to recognize the needs of their patients even if they are not experiencing the same challenges and events.