The assessment phase of the nursing process refers to the phase when data collection occurs. Which methods does the nurse use to collect data? (Select all that apply.)
a. Interpreting client behaviors
b. Interviewing the client and significant others
c. Observing client behavior
d. Performing physical assessment
e. Reviewing diagnostic testing results
B, C, D, E
Interviewing the client and significant others, observing client behavior, performing a physical assessment, and reviewing diagnostic testing results are effective ways of collecting data. Interpreting a client's behavior should never occur without clarification because interpretation often is incorrect.
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A nurse is assisting a client in performing prescribed range-of-motion (ROM) exercises. What is the main reason that ROM exercises are performed?
A) To maintain joint mobility and flexibility in active clients B) To stretch muscles before performing more strenuous activities C) To promote cardiorespiratory function and reduce body fat D) To test a client's ability to weight bear
Management of a client with a stage III ulceration would include which of the following? (Select all that apply.)
a. frequently assessing lung sounds b. frequently changing position c. air-filled mattress d. debridement of the wound bed e. encouraging intake of foods high in vitamin C and protein
A patient prescribed vancomycin (Vancocin) has developed redness on the face, neck, chest, back, and arms. The family asks the nurse if the drug should be stopped because of this response. What is your best answer?
a. "Yes, these problems indicate an allergic reaction." b. "Yes, these side effects eventually lead to difficulty breathing." c. "No, these uncomfortable problems are an expected drug side effect." d. "No, the problems are caused by the presence of the infection and are not related to the drug."
What does the ‘S' stand for in SMART objectives?
a. Special. b. Specific. c. Smart. d. Super.