The team leader is preparing to tape the evening shift report. The comment that should be included in the report is that:
1. client A complained of a headache until his wife arrived to visit. She was 20 minutes late because of unavoidable traffic.
2. client B ate everything on her dinner tray—roast beef, mashed potatoes, and green beans—and the dessert too, which is her usual pattern.
3. client C was so restless that the dressing on her sacrum came off and had to be replaced. There was no change in the assessment of the decubitus.
4. client D had her usual visitors. She is sleeping after her regular evening medica-tions, which were given as ordered at 8 PM.
3
The shift report should contain only clear, concise, and thorough information without extra useless comments.
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Which of the following statements best conveys an aspect of the role of cerebrospinal fluid (CSF)?
A) It provides physical protection for the brain and ensures that leukocytes and erythrocytes are evenly distributed in the CNS. B) CSF cushions the brain and provides a near-water medium for diffusion of nutrients. C) CSF distributes plasma proteins throughout the superficial gray matter of the CNS. D) It ensures that the high metabolic and oxygenation needs of the brain are met, as well as absorbing physical shocks.
The nurse is measuring the urinary output for a client and notes 450 ml of urine. The nurse would determine that this urine amounts is:
1. Decreased from normal. 2. Concentrated from what is normal. 3. Increased from normal. 4. Normal amount.
During maternal assessment, the nurse determines the fetus to be in a left occiput anterior (LOA) position. Auscultation of the fetal heart rate should begin in the:
1. Right upper quadrant. 2. Left upper quadrant. 3. Right lower quadrant. 4. Left lower quadrant.
Which one of the following examiner behaviors would help minimize your patient's dissatisfac-tion?
a. Assume a busy and rushed attitude. b. Convey your own feelings of discomfort. c. Keep the patient waiting for more than 30 minutes. d. Seek information about the patient's problem.