Which situation is characteristic of the weakness of the nursing process?
A) The frequent absence of well-written patience-focused objectives
B) The confusion created by the existence of numerous nursing diagnoses
C) The ever-increasing need for effective assessment skills required of the nurse
D) The amount of nursing staff required to implement the patients' plans of care
Answer: A) The frequent absence of well-written patience-focused objectives
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The nurse coaches the primigravida not to bear down until the cervix is completely dilated. What may premature bearing down cause?
a. Increased use of oxygen b. Cervical laceration c. Uterine rupture d. Compression of the cord
A Nepali man is in the ICU recovering from spinal surgery to remove a malignant tumor. He does not speak English, and struggles to communicate with the nurse by using hand motions
His family is constantly at his bedside, speaking with him in Nepalese. Frequently, he puts on headphones and listens to music on his MP3 player. His wife occasionally massages his feet. Which of the following factors is most likely exacerbating this patient's pain? A) Inability to communicate with the nurse B) Constant presence of his family C) Listening to music D) His wife massaging his feet
Which of the following is an appropriate nursing action when evaluating a client's neck for thyroid enlargement?
A) Inspect changes in pigmentation in the neck. B) Palpate the thyroid gland repeatedly. C) Palpate the thyroid gland gently. D) Examine the skin of the neck for excessive oiliness.
The teaching plan for a diabetic patient for foot care would include that the patient should (select all that apply):
1. wash and carefully dry the feet every day. 2. apply lotion between the toes. 3. protect the feet from extreme temperatures. 4. walk barefoot only indoors. 5. buy shoes that are comfortable and supportive.