The nurse is planning expected outcomes for a client. Which expected outcome is most appropriate for the nursing diagnosis of Risk for infection? The client will:
a. remain free of bodily injury.
b. participate physically in toileting activities.
c. remain afebrile during hospitalization.
d. identify factors that increase the risk of injury.
ANS: C
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The nurse is providing care for a patient who demands discharge from the hospital against the physician's orders. In order to remove liability from the institution and the physician, the nurse has the patient review and sign the:
a. Against Medical Advice form. b. Code of Academic and Clinical Conduct. c. Nursing Code of Ethics. d. Informed consent form.
The nurse is caring for a woman who is experiencing symptoms related to menopause and is about to begin hormone replacement therapy (HRT). The nurse should plan to teach the client:
1. that HRT stops the manifestations of menopause. 2. to have mammograms every 5 years. 3. to not operate a car when taking hormones. 4. the importance of not smoking while on HRT.
A client is administered dialysate solution through an abdominal catheter. The nurse notices that the return flow rate is slow, so the nurse advises the client to move to the other side
However, even after changing the client's position, the nurse does not observe an increase in return flow. Which of the following actions should the nurse perform to help accelerate the return flow rate? A) Disconnect the catheter and reapply. B) Loosen the tubing clamp. C) Inform the physician that catheter may need repositioning. D) Stop the process for 5 minutes and resume later.
Which pathologic description of a breast cancer would the nurse interpret as being indicative of a better prognosis for long-term survival?
A. Poorly differentiated; 20% of cells in S phase; estrogen receptor negative B. Moderately differentiated; 50% of cells in S phase; estrogen receptor negative C. Undifferentiated; 50% of cells in S phase; estrogen receptor positive D. Highly differentiated; 10% of cells in S phase; estrogen receptor positive