What additional priority information would you collect? (Select all that apply.)
The patient is a 45-year-old man who immigrated from Central America a year ago. He reports fatigue, cough, nausea, and weight loss. His vital signs reveal a low-grade temperature of 99.4° F; blood pressure: 128/82; heart rate 88 beats/min, and respiratory rate: 18 breaths/min.
A, B, D, E
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A nurse is caring for a group of clients. Which client should be assigned to the UAP/NAP?
A. A client who has just returned from the post-anesthesia recovery room B. A client whose call light is not working C. A client with Alzheimer's type dementia D. A client who is receiving heat treatment
A nurse in a long-term care facility has several residents who are incontinent. Which of the following actions can this nurse delegate to the unlicensed assistive personnel? (Select all that apply.)
a. Assist residents with exercises to strengthen pelvic muscles. b. Assist the resident to the bathroom on a set schedule. c. Increase the time interval for bathroom trips as the resident becomes continent. d. Measure intake and output and report cloudy urine. e. Teach residents how to do Kegel exercises to strengthen pelvic muscles.
During a job interview, the interviewee is asked, "What do you believe your weaknesses to be?" What is the best reply?
a. "I've never thought about having any weaknesses.". b. "I'm looking forward to strengthening my ability to plan care for a group of pa-tients.". c. "My instructors told me I was disorga-nized.". d. "My biggest problem is in planning and implementing discharge teaching.".
A client tells the mental health nurse "I am terribly frightened! I hear whispering that someone is going to kill me." Which criterion of mental health can the nurse assess as lacking?
a. Control over behavior b. Appraisal of reality c. Effectiveness in work d. Healthy self-concept