The nurse caring for a postsurgical patient obtains an oral temperature reading of 103°F. She contacts the surgeon, obtains an order, and administers acetaminophen 650 mg orally
Which clinical information should the nurse document? Select all that apply.
a. Oral temperature reading of 102°F
b. The call to the surgeon to obtain the order
c. Administering acetaminophen 650 mg orally
d. All of the above
D
Documentation of patient information is one of the most important responsibilities of the registered nurse. If vital signs are abnormal, the nurse must document these findings in the nursing progress notes along with any associated symptoms. Nurses are additionally required to take appropriate actions based on their assessment findings. Therefore, the nurse must document the interventions as well. In this item, all findings and actions must be documented.
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The nurse is planning a teaching session for older community members about the risks for peptic ulcer disease (PUD) found with this age group. What should the nurse include when teaching this community group?
A) PUD in an older client causes less bleeding than in a younger client. B) The elderly client experiences more severe abdominal pain than a younger client with PUD. C) Older clients should undergo colonoscopy when diagnosed with PUD. D) Peptic ulcer disease (PUD) is likely to be exacerbated by the bacterium H. pylori.
A nurse studying critical thinking theories can generalize the process as
a. a reflective process of gathering and evaluating data to choose a course of action. b. one conceptual mechanism for critiquing ideas and establishing goal-oriented care. c. researching best-practice literature to create care pathways for certain populations. d. using the nursing process to design individualized and specific nursing care plans.
How is the DSM-5 useful in the practice of psychiatric nursing? Select all that apply
A. It informs the nurse of accurate and reliable medical diagnosis. B. It represents progress toward a more holistic view of mind–body. C. It provides a framework for interdisciplinary communication. D. It provides a template for nursing care plans. E. It provides a framework for communication with the client.
There has been a radiation-based terrorist attack. A patient is experiencing vomiting, diarrhea, and shock after the attack. What will the patient most likely be categorized as?
A) Probable survival B) Possible survival C) Improbable survival D) Extended survival