Which directions given by the nurse to the assistant are most likely to be understood and completed correctly? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. "Here are your directions for this morning. Please give the clients in rooms 2156, 2158, and 2159 total bed baths."
2. "Go to the diet kitchen and get a cup of apple juice for the client in room 2112."
3. "Ambulate the clients on the south wing."
4. "Do you think you'll have time to do shampoos today?"
5. "It might be a good idea to get the client in room 2110 up in the chair this morning. Or maybe it would be better to wait until this afternoon."
1,2
Rationale 1: Saying "Here are your directions" alerts the assistant that an important statement is going to be made. The instructions are clear and concise.
Rationale 2: This is a clear and concise set of instructions.
Rationale 3: This direction is not clear. Does the nurse want the clients whose rooms are on the south wing ambulated? Or does the nurse want all ambulation to occur on the south wing today?
Rationale 4: This instruction is ambiguous. If the nurse would like for certain clients to have their hair shampooed today, the nurse should indicate that more clearly.
Rationale 5: The nurse should be clear regarding what should be done before instruction is provided.
Global Rationale:
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The nurse is taking a health history from the family of a three-year-old child. Which statement or question by the nurse would be most likely to establish rapport and elicit an accurate response from the family?
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The nurse is planning a seminar on ways to ensure healthy genitourinary functioning when aging. What information should the nurse include in this presentation? Standard Text: Select all that apply
1. Drink plenty of water. 2. Expect to develop urinary incontinence. 3. Be aware of responses to new medications. 4. It is normal to continue to desire sexual activity. 5. Take steps to prevent sexual transmitted infections.
The nurse admits a client who is complaining of severe abdominal pain and is vomiting. Which is the most important information to obtain from the client?
1. Description of the pain 2. Dates of hospitalizations 3. Contact number of family 4. Types of previous surgeries