A client sets the goal of reducing metformin intake to 1 pill per day within 1 year. What is missing from this agreement?
a. long-term goals
b. realistic goals
c. short-term goals
d. all of these
Answer: c. short-term goals
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A nurse is preparing to take a client's apical pulse. The nurse places the stethoscope at the point of maximal impulse (PMI) at the:
a. sternum c. right of the midclavicular line b. suprasternal notch d. fifth intercostal space
During discharge planning of a drug-dependent newborn, the nurse explains to the mother how to:
1. Place the newborn in a prone position. 2. Limit feedings to three a day to decrease diarrhea. 3. Place supine and operate a home apnea-monitoring system. 4. Wean the newborn off the pacifier.
A client's medical record reveals the diagnosis of tinea unguium. The nurse would assess which body part for this disorder?
1. The foot 2. The pubic area 3. The head 4. The nails
An appropriate question for the nurse to ask to assess situational support is:
a. "Has anything upsetting occurred in the past few days?" b. "Who can be helpful to you during this time?" c. "How does this problem affect your life?" d. "What led you to seek help at this time?"