How often should the nurse perform a general assessment of the client?
1. At least every 4 hours
2. As often as it is needed
3. When the client requests it
4. At the rate set by agency policy
2
2. The nurse performs a general assessment at the beginning of the shift and as often as needed afterward; however, the nurse frequently performs a focused assessment to make clinical judgments and to problem solve.
1. Every 4 hours is time consuming unless indicated by client condition.
3. Clients do not determine when to perform an assessment, but the nurse is respon-sive to client concerns and resolves the problem to the client's satisfaction.
4. Agency policy generally requires an assessment at the beginning of the shift and supports the nurse's decision to reassess the client as needed at the nurse's discretion.
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a. Alcohol intake of 1 to 2 drinks per week b. Family history of H. pylori infection c. Former smoker still using nicotine patches d. Willingness to adhere to drug therapy
A nurse is working with a family who is unable to find adequate health care coverage for the children in the family. Which of the following pieces of legislation will assist in provision of health care coverage for these children?
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Which of the following outcome goals would be best for an adolescent male who has a nursing diagnosis of "Imbalanced nutrition: Less than body requirements related to poor caloric intake and increased metabolic demands as evidenced by poor weight
gain and weight loss"? a. The child will ingest the appropriate number of calories for his age (50 calories per kilogram per 24 hours). b. The child will take in three meals per day. c. There will be an improvement in appetite during the next 3 days. d. The dietary department will consult with the child and his family to ascertain likes and dislikes and will serve more likes.
An unconscious patient is treated in the emergency department for head trauma. The patient is unconscious and on life support for 2 weeks prior to making a full recovery. The initial actions of the medical team are based on which ethical principle?
a. Utilitarianism b. Deontology c. Autonomy d. Veracity