The actual implementation of the care plan is done by
a. The registered nurse (RN)
b. The RN and the certified nursing assistant (CNA)
c. The licensed practical nurse (LPN) and the CNA
d. The entire nursing team
D
The CNA often gives the personal care to the resident under the supervision of the LPN. The LPN manages the care given by the CNA and passes medications, does dressings, and provides other care within the LPN domain of practice. The RN is identified as head of the nursing team.
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When preparing to assess a client's blood pressure, the nurse observes for indications to using the client's thigh and a standard stethoscope, such as: Standard Text: Select all that apply
1. Unilateral mastectomy. 2. Intravenous infusions in both arms. 3. Burns on the upper body, including the shoulders or hands. 4. Bilateral mastectomy. 5. Arteriovenous fistula.
The nurse recognizes that the client education has not been effective when the client states:
1. "Hypertension affects my blood vessels only if I have other underlying health problems.". 2. "Hypertension causes my blood vessels to become inflamed and decreases the blood supply to my organs if left untreated.". 3. "I am more prone to heart disease and eye problems if I discontinue my blood pressure medications.". 4. "Hypertension creates damage to my blood vessels even if I don't have any symptoms.".
The Pyxis Specialty Station system automates the distribution, management, and control of medications and supplies. An advantage of this system to the patient is which of the following?
a. Accurate charging of supplies b. Accurate dosage of medications c. Separate storage for each patient d. Availability of medications and supplies
How does the nurse perform a Rinne test of hearing function? The nurse:
a. Whispers several words to the client and requests that the client repeat the words heard. b. Places a vibrating tuning fork in the middle of the head and asks the client if the sound is heard the same in both ears or if it is louder in one ear than the other. c. Places a set of headphones over both ears, plays several tones, and asks the client to identify the sounds. d. Places a vibrating tuning fork on the mastoid process until the client no longer hears it, and then moves it in front of the ear until the client no longer hears it.