For which reasons would the nurse complete a comprehensive assessment with a patient? (Select all that apply.)
A) Strengthens the nurse–patient relationship
B) Provides baselines for future assessments
C) Is appropriate for routine care visits
D) Assesses symptoms about a specific body system
E) Provides personalized knowledge about the patient
A, B, E
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A home health patient with end-stage renal disease (ESRD) has a nursing diagnosis of powerlessness related to life-altering disease. Which nursing intervention would be most helpful?
a. Ensure restricted protein intake to prevent nitrogenous product accumulation. b. Include the patient in making the plan of care. c. Counsel patient about end-of-life provisions. d. Write out a detailed schedule of physician's appointments.
A nursing student asks the pharmacology instructor for ways to minimize the emergence of drug-resistant microbial agents. What would be an appropriate response by the instructor? (Select all that apply.)
A) Avoid the use of broad-spectrum antibacterial drugs when treating trivial or viral infections. B) Use narrow-spectrum agents if they are thought to be effective. C) Do not use vancomycin unnecessarily. D) Prescribe antibiotics when the patient believes they are warranted. E) Start the antibiotics, do culture and sensitivity tests, and provide patient education.
Which of the following social changes is increasing the number and complexity of ethical dilemmas that nurses face?
A) Outdated medical technologies B) Diminished fiscal constraints C) Greater numbers of older adults D) Expansion of the hospice movement
A patient with lung cancer is receiving chemotherapy. Why is it important for the nurse to closely monitor the patient's white blood cell (WBC) count?
a. Chemotherapy drugs cause proliferation of blood cells, which can lead to sluggish circulation. b. Chemotherapy drugs cause polycythemia and can precipitate thrombosis. c. Chemotherapy drugs depress the bone marrow, which can lead to infection and an increase in WBC count. d. Chemotherapy drugs attack WBCs and shorten their life span, which increases risk for infection.