When admitting a 17-year-old client, the nurse notices that the client's hair is very dry and brittle. The nurse asks the client about which of the following during data collection?
1. The number of glasses of water the client drinks each day
2. How much protein the client eats in a day
3. The number of times the client brushes her hair every day
4. What dyes, straighteners, or other chemicals the client uses on her hair
4
Rationale: A 17-year-old normally has supple hair, so the important thing for the nurse to assess is use of chemicals and hair dyes that can cause dry, brittle hair. Inadequate water and protein intake are unlikely to create these abnormalities in an adolescent. Brushing the hair stimulates blood flow to the scalp, and is more likely to increase oil production.
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The nurse who is preparing to discharge a patient who has undergone a left knee replacement examines whether or not patient goals have been met. What stage of the nursing process is being explored?
A) Assessment B) Planning C) Intervention D) Evaluation
A client at 24 weeks of gestation says she has a glass of wine with dinner every evening. The nurse will counsel her to eliminate all alcohol intake because:
a. a daily consumption of alcohol indicates a risk for alcoholism. b. she will be at risk for abusing other substances as well. c. the fetus is placed at risk for altered brain growth. d. the fetus is at risk for severe nervous system injury.
A client has the goal statement "Client will have clear lung sounds bilaterally within 3 days." One intervention to meet this goal is for the nurse to teach the client to cough and deep breathe and have the client do this several times every 2 hours
At the end of the third day, the client's lungs are indeed clear. What should the nurse do to relate the intervention to the outcome? 1. Ask how many times per day the client practiced the coughing and deep breathing exercises. 2. Tell the client that the lungs are clear. 3. Document the assessment findings to show the effectiveness of the intervention. 4. Write this evaluation statement: Goal met, lung sounds clear by third day.
Which describes a function of Vitamin C?
A. Maintains vision B. Regulates digestion C. Promotes development of bones and teeth D. Promotes the manufacturing of platelets