Rosalee, a nurse, considers the most recent evidence-based policy on care of the client with pneumonia while identifying patients needs. Which of the steps of the nursing process does this represent:
Planning outcomes.
Planning interventions.
Implementation. Evaluation.
Diagnosis. Assessment.
Planning interventions.
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A patient is scheduled for a colon resection in the morning, and the nurse is to administer a cleansing enema to the patient. The nurse explains the cleansing enema will:
A) Prevent aspiration of gastric contents B) Prevent the development of gas postoperatively C) Prevent contamination of the peritoneum D) Allow for absorption of medications
Which of the following is true for goals/outcomes for collaborative problems?
1) They are monitored only by other disciplines. 2) They are usually sensitive to nursing interventions. 3) They state that a complication will not occur. 4) They state only broad performance criteria.
What precaution is most important to teach a client with allergic rhinitis who also has glaucoma?
A. "If your heart beat increases, be sure to contact your health care provider." B. "Read the labels of over-the-counter allergy drugs and avoid those containing pseudoephedrine or phenylephrine." C. "Be sure to drink plenty of water whenever you take an over-the-counter antihis-tamine or decongestant." D. "Your eyes may become very dry when taking any allergy medication or decon-gestant and you should use an eye-moistening agent."
A nurse's neighbor is a healthy 75-year-old man. He confides in the nurse about problems with urination, saying, "It's hard to get it going. What can I take to help it? I don't want to go see a doctor
" Which natural preparation might be helpful for this individual? a. Peppermint b. Ginkgo c. Saw palmetto d. St. John's wort