Based on accepted standards of care for documentation, identify the element that the nurse should avoid placing in the client's medical record
a. Blank spaces between the lines for late entries
b. Date and time on all entries
c. Observation about the client's behaviors
d. Direct quotes from the family
A
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When describing anticoagulants to a client, which of the following would the nurse expect to include? Select all that apply
A) Anticoagulants prevent formation of a thrombus. B) Anticoagulants prevent extension of a thrombus. C) Anticoagulants dissolve existing thrombi. D) Anticoagulants thin the blood. E) Anticoagulants can reverse the damage caused by a thrombus.
The nurse notices that a client performing a BSE is failing to palpate her breast and axillae completely. To improve her technique, the nurse should teach the client to
a. compress the nipple downward. b. gently slide her fingers over the breast tissue. c. palpate the breast using a systematic approach. d. start her examination when standing.
When using the Fulmer SPICES assessment tool the nurse expects to ask:
a. "Do you think that you sleep well?" b. "Are you ever incontinent of urine?" c. "When was the last time you fell?" d. "Who helps you when you can't do something by yourself?"
Why would a school nurse seek funds to implement a program to teach adolescents how to recognize depression and low self-esteem in their peers?
a. Funds are available for such mental health programs. b. Such programs are a priority in Healthy People 2020. c. The incidence of adolescents considering or attempting suicide is high. d. The nurse has expertise in this area and wants to share this knowledge with others.