The nurse is caring for a client who has a written care plan identifying the expected outcomes of care. The nurse should do which of the following to facilitate outcome attainment by that client?
1. Focus on the routine tasks of care, such as giving medications.
2. Work as an independent practitioner without influence from other team members.
3. Focus on only one or two major client problems.
4. Work to maintain continuity of care.
ANS: 4
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Your patient is a? 55-year-old male who is in moderate distress and complaining of chest pain. He states that he experienced an acute onset of? left-sided crushing chest pain while playing basketball with his grandson. He complains of weakness and? near-syncope with exertion. His skin is? pale, cool, and diaphoretic. HR? = 40, BP? = 72/40, RR? = 20, SaO2? = 95%. The monitor shows a? third-degree AV block. Which of the following is most? appropriate?
A. Aspirin, nitroglycerin, and morphine B. Atropine, 0.5 mg, up to 2.0 mg C. Sedation and transcutaneous pacing D. Dopamine at 5 mcg/kg/min
The nurse is educating a patient and the family about different types of stabilization devices. Which statement by the patient indicates that the patient understands the benefit of using a halo fixation device instead of Gardner-Wells tongs?
1. "I will have less pain if I use the halo device.". 2. "The halo device will allow me to get out of bed.". 3. "I am less likely to get an infection with the halo device.". 4. "The halo device does not have to stay in place as long.".
A nurse is preparing to interview a 4-year-old preschooler. Which of the following would be most effective to use for the assessment?
A) Direct, simple questions B) Play materials such as blocks C) Pediatric anxiety rating scale D) Children's Depression Inventory
During an intake interview, the nurse observes the patient grimacing and holding his hand over his stomach. The patient previously denied having any pain. What action should the nurse take next?
a. Examine the history closely for etiology of pain. b. Ask the patient if he is experiencing ab-dominal pain. c. Record that patient seems to be having abdominal discomfort. d. Physically examine the patient's abdomen.