The nurse changes a patient's surgical dressing daily. This is considered to be part of which phase of the nursing process?
A) Nursing diagnosis
B) Patient goal
C) Outcome identification
D) Implementation
Ans: D
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A male client states that he is having problems with impotence. Which of the following diseases should the nurse question as part of the client's past medical history? Select all that apply
1. Hypertension 2. Diabetes 3. Alcoholism 4. Herpes 5. HIV
A 79-year-old resident in a long-term care facility is known to "wander at night" and has fallen in the past. Which of the following is the most appropriate nursing intervention?
1. An abdominal restraint should be placed on the client during sleeping hours. 2. The client should be checked frequently during the night. 3. A radio should be left playing at the bedside to assist in reality orientation. 4. The client should be placed in a room that is away from the activity of the nurses' station.
During voluntary movement, impulses descend from the motor strip to the spinal cord. Impulses stimulate muscles by way of
a. Ligaments. b. Tendons. c. Neurotransmitters. d. Cartilage.
When palpating the aortic area, you detect the presence of a thrill, which is an abnormal finding related to aortic stenosis and aortic regurgitation resulting in turbulent blood flow in the
a. aorta. c. right ventricle. b. left ventricle. d. pulmonary artery.