A nurse is assigned to care for a client in a healthcare facility. The plan of care for the
client has been prepared by the nurse. The nurse has to determine the effectiveness of
the nursing care plan.
Which aspect should the nurse keep in mind when reviewing the
nursing care plan?
A) The plan has to protect the client's safety.
B) The plan is based on problem solving skills.
C) The plan designates specific interventions.
D) The plan identifies client's long-term goals.
A
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A 30-year-old woman tells the nurse that she has been very unsteady and has had difficulty in maintaining her balance. Which area of the brain that is related to these findings would concern the nurse?
a. Thalamus b. Brainstem c. Cerebellum d. Extrapyramidal tract
All of the following are components of the planning process EXCEPT
a. revision c. developing nursing interventions b. establishing priorities d. documenting
The client recently received a diagnosis of cancer
The client frequently asks the nurse about the disease and treatment even though the health care provider discussed the disease, its treatment, expected therapeutic effects, and adverse effects of therapy with the client. The most likely explanation for this repeated need for information is: a. the client has early dementia and is unable to remember the information. b. the client is under emotional stress due to the psychosocial impact of the diagnosis. c. the client has borderline intellect that requires repetition to grasp information. d. the health care provider did not do a thorough job in explaining the disease to the client.
Mr. S presents in the clinic with pain, tenderness, erythema, and swelling of his left great toe. The clinician suspects acute gout. Which of the following should the clinician suspect in the initial test results for this patient?
a. Elevated uric acid level b. Elevated blood urea nitrogen (BUN) c. Decreased urine pH d. Decreased C-reactive protein (CRP)