The assessment that helps establish a diagnosis based on the identification of elements that may be an immediate threat to the client is a
1. nursing assessment.
2. risk factor assessment.
3. physical assessment.
4. rest factor assessment.
2
A risk factor assessment helps to formulate a nursing diagnosis based on the identification of risk factors that potentially present an immediate threat to the patient.
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A client has late-stage colon cancer with metastasis to the spine and bones. Which nursing intervention does the nurse add to the care plan to address a priority problem?
a. Provide six small meals and snacks daily. b. Offer the client prune juice twice a day. c. Ensure that the client gets adequate rest. d. Give the client pain medications around the clock.
How is a handicap different from an impairment, as defined by the World Health Organiza-tion?
A. An impairment may be temporary and a handicap is usually permanent. B. Handicaps only involve mobility and an impairment may involve any organ structure or function. C. Impairments are physical abnormalities and handicaps are societal values placed on individuals with impairments. D. Handicaps are societal attempts to improve the functional ability of a person with an impairment, allowing more mainstream integration.
The intravenous access line for a patient receiving cryoprecipitate has infiltrated. Which of the following should the nurse do with the blood product?
1. store in the medication refrigerator 2. return the product to the blood bank 3. store at room temperature 4. store in the medication freezer
Sam has a prescription for a medication that says to take 3 fl oz. He has a measuring spoon set and will
use the tablespoon measure. How many tablespoons of medication will he need to take the prescribed dose? A. 4 tablespoons B. 2 tablespoons C. 4 1/2 tablespoons D. 6 tablespoons