A nurse arrives to the unit and receives report from the night shift nurse. The nurse identifies what medications are necessary for the client prior to going to the patient's room
Upon entering the room, the nurse introduces herself and takes a blood pressure and then listens to the client lungs, heart, and abdomen before checking pedal pulses and inquiring about pain. What is the name of this portion of the nursing process?
A) Diagnosis
B) Implementation
C) Assessment
D) Planning
C
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A man was involved in a motor vehicle accident yesterday. He is to be sedated for more than 2 weeks while breathing with the assistance of a mechanical ventilator
Which of the following would be an appropriate nursing diagnosis for him at this time? a. Risk for Infection related to subcutaneous injuries b. Risk for Impaired Skin Integrity related to immobility c. Impaired Tissue Integrity related to ventilator dependency d. Impaired Skin Integrity related to ventilator dependency
In most cases of elder abuse, the abusers are
a. Long-term care facility employees b. Privately paid caregivers c. Family members who are living with the older adult d. Con artists who target older adults
After an assessment the nurse is concerned that an older patient is at risk for the development of an abdominal aortic aneurysm. What did the nurse assess in this patient? (Select all that apply.)
A) Diagnosis of angina B) History of hypertension C) History of arteriosclerosis D) Treatment for diabetes mellitus E) Experienced a myocardial infarction
A patient is diagnosed with a humeral fracture. What should the nurse identify as a priority treatment goal for the patient?
1. immediate surgical correction 2. immobilizing the fractured bone in normal anatomic position 3. applying ice and compression to the injured arm 4. applying elastic bandage wrap and elevating the arm