A nurse who is admitting a client to the inpatient unit conducts a comprehensive assessment. How does the nurse use the data gathered from the assessment? Standard Text: Select all that apply
1. To support nursing diagnoses
2. To determine the length of stay
3. To exclude data from secondary sources
4. To plan appropriate interventions
5. To make sound clinical judgments
1,4,5
Rationale: To support nursing diagnoses. Data obtained from the comprehensive assessment is used as support or evidence for the nursing diagnoses.
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A patient who is prescribed oral quinidine (Quinaglute) for a tachydysrhythmia is on a cardiac monitor, which shows lengthening PR intervals. What is your best action?
a. Perform a 12-lead electrocardiogram (ECG). b. Send a serum potassium level to the laboratory. c. Document this as an expected action of the drug. d. Notify the prescriber immediately.
A client asks the nurse how medication is excreted from the body. Which response by the nurse is most appropriate?
1. The lungs are the main organ of excretion. 2. The kidney is the main organ of excretion. 3. The colon is the main organ of excretion. 4. The liver is the main organ of excretion.
A female patient is anxious after receiving the news that she needs a breast biopsy to rule out breast cancer. The nurse is assisting with a breast biopsy. Which relaxation technique will be best to use at this time?
a. Massage b. Meditation c. Guided imagery d. Relaxation breathing
Mr. Smith was temporarily taken off chemotherapy despite responding very well to the treatment. This is often practiced when using chemotherapy because:
A. additional time allows cell-cycle nonspecific drugs to be effective. B. additional time allows for recovery of the normal cells. C. additional time allows the immune system to fight off the tumor. D. additional time allows medical staff to test for remission.