A nurse believes that milk is part of the healthy adult's diet. The nurse frequently offers milk to adults as a between-meal beverage. This action is based on which concept?

1. Evidence
2. An underlying assumption
3. An alternative perspective
4. An inquiring attitude


2
Rationale 1: Scientific evidence shows that milk is not tolerated by all adults. This action is not based in science.
Rationale 2: The nurse's assumption is that milk is good for adults.
Rationale 3: The nurse has not considered the alternative perspective that milk is not tolerated by some adults.
Rationale 4: An inquiring attitude would lead the nurse to investigate research about adult tolerance to milk.
Global Rationale:

Nursing

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A nursing instructor is discussing dehydration risks in the older adult with a student nurse. What response by the student indicates that the student needs further education?

A) "I will offer my client a drink of water every time I enter the client's room." B) "I will administer my client's furosemide (Lasix) with the evening meal." C) "I will administer my client's furosemide (Lasix) with breakfast." D) "I will ensure that fresh water is available to my client."

Nursing

A client is scheduled for surgery to fuse the vertebra in the lumbar region of the spine. The nurse should instruct the client that the number of vertebra being affected by this surgery would be:

1. 7. 2. 12. 3. 5. 4. 4.

Nursing

The UK PEARLS (Perineal Assessment and Repair Longitudinal Study) study designed to assess outcomes of current perineal management,

and establish whether implementation of a standardised evidence-based clinical training package and information for women on perineal health enhances women's experiences of their birth, has found: a. a significant reduction in the mean percentages of women reporting wound infections and needing suture removal. b. a significant reduction in the mean percentages of women reporting pain at activity 10–12 days postpartum. c. a significant increase in the mean percentages of women reporting wound infections and needing suture removal. d. a significant increase in the mean percentages of women reporting pain at activity 10–12 days postpartum.

Nursing

On inspection of a 20-year-old female client's abdomen, the nurse asks the client to raise her head without using her arms and notes a midline bulge. The appropriate response of the nurse is to:

a. Ask the client if she is possibly pregnant. b. Auscultate the client's abdomen for intestinal obstruction. c. Note this as a normal finding and continue the examination. d. Perform light and deep palpation of the abdomen.

Nursing