Which will the nurse assess during the healthcare practices portion of the cultural assessment?
1) Level of activity
2) Dietary intake
3) Alcohol consumption
4) Skin color
ANS: 1
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A recent graduate nurse charts the following entry: "1200: Ambulated patient 25 feet with walker." The preceptor nurse critiques the entry. Which statement by the preceptor nurse is most accurate? "This charting
a. has missing data you must incorporate." b. is accurate and timely—very well done." c. needs to say whether the patient did well or not." d. should include the patient's response."
A nurse is caring for a patient who has had major abdominal surgery. The postsurgical nurse is aware that the postoperative plan of care should include:
A) Providing passive range of motion, assisting the patient with coughing and deep breathing as needed, and increasing mobility by helping the patient sit on the side of the bed every day. B) Assessing bowel sound every 8 hours, offering medications as ordered, and allowing the patient privacy and security. C) Managing the patient's pain, working with the patient to cough and deep breathe every 2 hours, turning the patient frequently, exercising, and ambulating as early as possible. D) Allowing the patient to visit with family, allowing time for rest and reflection, and then have the nursing assistant provide a sponge bath while the nurse begins the discharge teaching process.
The nurse is preparing a client for discharge who will be requiring physical therapy (PT) to rehabilitate after a total knee replacement. After reading the healthcare provider's order for PT, which would be the nurse's initial action?
A) Set up appointments according to the order with the hospital PT department. B) Call home health and schedule a therapist to visit the home for therapy. C) Discuss the various types of settings for therapy and have the client choose the venue. D) Teach the family the exercises needed for the client.
An older client is preparing to go to the home of a daughter who will be the primary caregiver. What should the nurse instruct the daughter about the client's care?
1. Give back massages. 2. Puree all food. 3. Bathe the client once a week. 4. Examine the common sites for pressure ulcers.