Nursing has experienced constant change over the past decades as a result of increased research. When determining best practices, nursing decisions should do which of the following? Select all that apply
A) Be based on tradition
B) Include holistic approaches
C) Be clinically appropriate
D) Be cost effective
C, D
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Nurse leaders recognize the need to base specific nursing decisions on evidence indicating that the decisions are clinically appropriate, cost-effective, and result in positive client outcomes. Holistic treatments may be appropriate in some, but not all, circumstances. Tradition alone is an inadequate basis for practice.
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An older client is prescribed gabapentin (Neurontin) for a seizure disorder. When instructing the client on this medication, which common side effects should the nurse include? Select all that apply.
1. Headache 2. Increased thirst 3. Irritability 4. Black, tarry stools 5. Weight gain
The delusional patient has become agitated and angry. The patient reports that the cook put tacks in his cereal. He is pacing back and forth in the crowded dining room and cursing the cook. How should the nurse respond?
a. Keep distance from the patient and ask, "Can we go to the dayroom and talk?" b. Touch the patient's arm and say, "Calm down. I'm sure we can straighten this out." c. Call experienced CNAs to restrain the pa-tient. d. Stand calmly and say, "This behavior is unacceptable. Sit down and eat, Carl."
The nurse is participating in a teaching plan to address Risk for Impaired Skin Integrity for a patient with contact dermatitis. Which information should the nurse recommend be included in this plan? (Select all that apply.)
a. Keep fingernails short. b. Take baths with an oatmeal solution. c. Use oil-in-water lubricants for skin dryness. d. Rub affected area roughly, but do not scratch. e. Avoid washing affected area with brown soap. f. Use cool washcloths over affected area to ease itching.
When weighing and measuring an adolescent whose ideal body weight is 105 pounds, the nurse would identify the child as obese if the child weighs:
A) 116 pounds B) 121 pounds C) 126 pounds D) 131 pounds