A charge nurse is observing a newly licensed nurse care for a client who reports pain. The nurse checked the clients MAR and noted the last dose of pain medication was six hours ago. The prescription reads every four hours PRN for pain. The nurse administered the medication and checked with the client 40 minutes later, when the client reported improvement. The newly licensed nurse left out which of the following steps of the nursing process?
A. Assessment
B. Planning
C. Intervention
D. Evaluation
A. Assessment
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The nurse has received morning lab work on a client with chronic renal disease. Which finding indicates renal disease?
A) Urine pH of 6.5 B) Urine nitrate: negative C) Protein level of 400 mg/dL D) Specific gravity: 1.002
The patient brings suit against a health care provider. In which ways would the nurse expect this action will affect the confidentiality of the patient's medical record?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The confidentiality of the record will remain intact. 2. The patient's attorney will have access to the information in the record. 3. The record loses confidentiality and is discoverable by any interested party. 4. The record will be released to the defendant's attorney. 5. Only the judge will have full access to the medical record.
You are caring for a child recently admitted to the palliative care unit with end-stage heart disease. Which statement by the parents demonstrates that you need to provide education regarding palliative care?
1. "We want to have our family here with us, are they able to visit outside of visiting hours?" 2. "We want to make sure we are always with our child. Can we sleep in the room?" 3. "We are trying to plan ahead. When do you think our child will be better and able to be discharged?" 4. All of the above
Which pediatric client diagnoses necessitate close monitoring for respiratory alkalosis? Select all that apply
1. Aspiration 2. Epiglottitis 3. Sepsis 4. Meningitis 5. Cystic fibrosis