The nurse is preparing to document after providing a client with education. Which of the following should be included in this documentation?
a. Content, teaching method, and client response
b. Client's vital signs
c. Client's physical comfort level
d. Plan for discharge
ANS: A
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A nurse reviews the laboratory results of a client who is receiving intravenous insulin. Which should alert the nurse to intervene immediately?
a. Serum chloride level of 98 mmol/L b. Serum calcium level of 8.8 mg/dL c. Serum sodium level of 132 mmol/L d. Serum potassium level of 2.5 mmol/L
The PACU nurse is caring for a 45-year-old male patient who had a left lobectomy. The nurse is assessing the patient frequently for airway patency and cardiovascular status
The nurse should know that the most common cardiovascular complications seen in the PACU include what? Select all that apply. A) Hypotension B) Hypervolemia C) Heart murmurs D) Dysrhythmias E) Hypertension
How often should the nurse cleanse the meatal-catheter junction of a patient with an indwelling catheter?
a. At least once a day b. At least twice a day c. At bedtime d. Each shift
How does critical theory differ from other nursing theories such as the health belief model or Orem's self-care deficit theory?
a. Critical theory can be used by professionals other than nurses. b. Critical theory focuses on oppression and facilitates group action. c. Critical theory is not directly related to health promotion. d. Critical theory confronts changing an individual's beliefs.