A client recovering from congestive heart failure (CHF)is being discharged this afternoon
The client needs teaching to be reinforced. Who should complete this task?
A. An LPN/LVN
B. A UAP/NAP
C. A unit secretary
D. A second-year nursing student working as a nurse tech on the unit
ANS: A
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A registered nurse recently went to work for a health care organization that uses the SOAP format for documentation. The nurse charts the following: Discuss alternatives for pain control. Which component of SOAP did the nurse chart?
a. S b. O c. A d. P
A client is advised a douche to clear vaginal drainage following the repair of a vesicovaginal fistula. Before giving the douche, the nurse observes that the drainage is serosanguineous. Which action should the nurse take?
A) Inform the physician immediately. B) Record it as a normal finding. C) Obtain a specimen for C&S. D) Advise daily bathing and frequent perineal hygiene.
Prior to transferring a client for a scheduled procedure, the client states to the nurse, "I do not know how well I will do after this procedure." Which question should be a priority for the nurse to ask the client?
1. "Are you concerned about your recovery time?" 2. "Do you have any questions about the procedure?" 3. "Do you understand why they are doing this procedure?" 4. "Are you concerned about experiencing pain after the procedure?"
A 42-week postterm neonate was born with greenish discoloration of the nails and skin. The nurse anticipates that the infant will be
a. transferred to the NICU b. monitored for respiratory problems c. kept NPO for at least 4 hours d. monitored for signs of neonatal sepsis