The nurse is reviewing a client's current plan of care. This type of planning is considered:
a. initial. c. discharge.
b. ongoing. d. evaluative.
ANS: B
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The nurse of a patient who is diagnosed as having damage to the layer of the heart responsible for the pumping action is aware the damage is in the:
A) Endocardium B) Pericardium C) Myocardium D) Visceral pericardium
Which patient is most in need of discharge planning by the nurse?
a. A 29-year-old mother with strong family support who has a healthy newborn b. A 59-year-old patient with an active life-style who has had an appendectomy c. A 64-year-old patient with heart failure who has a limited income d. A 56-year-old patient with a supporting spouse who has had a hysterectomy
A 71-year-old woman has complained of chest pain that appears when she is doing housework or climbing stairs. The woman claims that the pain dissipates when she stops exerting herself and rests for a few minutes
The woman's history, combined with these complaints, prompted her primary care provider to order cardiac catheterization. What instructions should the nurse provide this patient in anticipation of her procedure? A) "After the test is done, you can resume your normal activity as soon as you feel ready." B) "You'll be put under general anesthetic for the procedure, and you'll wake up when it's done." C) "A small amount of bleeding from your puncture site is normal for a day or two after the procedure." D) "Make sure that you don't eat or drink before the procedure."
To detect crepitus in a patient with an esophageal perforation, the nurse should:
A) palpate the chest. B) inspect the chest. C) percuss the chest. D) auscultate the chest.