A nurse must check a client's vital signs. Which personal space or invisible buffer zone will the nurse be entering?
a. intimate distance c. close distance
b. personal distance d. social or public dis-tance
A
The intimate distance is from 0 to 18 inches around a person's body. Activities that occur within this distance include checking vital signs and administering a massage.
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Which of the following statements made by a new nursing graduate best reflects an understand-ing of expected outcomes?
1. "It gives the client something positive to strive towards." 2. "They are statements of how the client's behavior should change." 3. "They are measurable criteria by which I can evaluation whether a goal has been achieved." 4. "They provide the client with suggestions on how to achieve their long and short term goals."
Which characteristic associated with being a patient increases the need for advocacy?
A) Loss of physical freedom as a result of extended hospitalizations B) Decreased independence due to physical or psychosocial limitations C) Physical or psychosocial limitations negatively impacted autonomy D) Illness tends to make an individual more vulnerable to unethical activities E) All of the above
Postpolio syndrome is marked by
A. incontinence and confusion. B. weakness and fatigue. C. spasticity and tremor. D. speech and hearing problems.
The patient is receiving a statin drug. Which assessment data would be a priority for the nurse to report to the physician?
1. Bowel sounds markedly increased in all four quadrants of the abdomen 2. Urine output of 200 mL/hour 3. Urine output of 20 mL/hour 4. Moderate elevation in liver function tests (LFTs)