A nurse assesses the vital signs of a patient who is one day postsurgery in which a colostomy was performed. The nurse then uses the data to update the patient plan of care. What are these actions considered?
A) initial planning C) on-going planning
B) comprehensive planning D) discharge planning
C
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A 20-year-old patient has been brought to the emergency department by ambulance after being found with an apparent gunshot wound to the chest
Place the following components of the rapid assessment of thoracic injuries in the correct order in which the nurse should perform them. A) Assess the patient's vital signs B) Assess the character and quality of the patient's breathing pattern C) Assess the patient's level of consciousness D) Assess the patency of the patient's airway E) Assess the patient for hypothermia or hyperthermia
You have just admitted a client to your unit diagnosed with depersonalization disorder. What would be the most appropriate nursing diagnosis for this client when developing the client's care plan?
A) Self-care deficit, related to mechanical trance-like state or aimless wandering B) Sensory perceptual alteration, related to depersonalization and view of self C) Anxiety, related to repressed traumatic events or loss of identity D) Family coping ineffective, related to loss of identity
The nurse prepares to administer a parenteral medication. Which route of administration does the nurse use for the medication?
1. Oral 2. Topical 3. Sublingual 4. Intramuscular
The nurse should administer RhoGAM (Rh immune globulin) to the pregnant woman who is Rho(D)-negative, after which test?
A) CST (contraction stress test) B) Amniocentesis C) NST (nonstress test) D) Biophysical profile