The nurse is planning care to address health care needs for a non-English-speaking patient and family. What would the nurse use as a guide for this care?
1. Checklist
2. Standardized care plan
3. Nursing textbook
4. Care map
1
Explanation: 1. The Joint Commission has created checklists for activities to address patient- and family-centered care.
2. A standardized care plan may or may not address the cultural needs of the patient and family.
3. A nursing textbook may or may not address the cultural needs of the patient and family.
4. A care map may or may not address the cultural needs of the patient and family.
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A patient is admitted with high BUN and creatinine levels, low blood pH, and elevated serum potassium level. Based on these laboratory findings the nurse suspects which diagnosis?
a. Cystitis b. Renal Calculi c. Enuresis d. Renal Failure
The advantage of passive range of motion (ROM) for an older adult is to
a. Decrease the risk of skin breakdown b. Decrease the need for ambulation c. Maintain joint flexibility and decrease muscle wasting d. Cure deep vein thrombosis
During a rectovaginal examination, you should assess all of the following, EXCEPT
a. cervix and uterus for posterior lesions. c. rectovaginal septum for patency. b. rectouterine pouch for contour lesions. d. ovaries and fallopian tubes.
The maternal risks associated with postterm pregnancy include: (Select all that apply.)
1. Polyhydramnios. 2. Small-for-gestational age infant. 3. Large-for-gestational age infant. 4. Forceps-assisted delivery. Correct