The nurse is planning care for a client. A step carried out in the planning phase of the nursing process would include:
a. taking the client's blood pressure and pulse.
b. assisting the client with activities of daily living.
c. identifying appropriate goals and outcomes for the client.
d. inspecting the incision site for redness and drainage.
ANS: C
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A patient care services director is discussing past experiences while employed at other organizations with regard to staff evaluations. The director states forced distribution evaluations are usually used as a result of:
1. Evaluation inflation. 2. Several exceptional employees. 3. Many unhappy employees. 4. Large numbers of staff.
A client is complaining of dryness, burning, and grittiness in both eyes. The nurse would conduct further assessments to confirm a suspicion of
a. acute angle glaucoma. b. allergies. c. hypertensive eye disease. d. mild corneal abrasion.
A patient asks the nurse about the safety of herbal products in general. Which response by the nurse is correct?
a. "Consumers should research products and their manufacturers before taking." b. "Manufacturers are required to list interactions of herbs with drugs and food." c. "Products manufactured for drug and grocery store chains are safe." d. "Toxicological analysis is required of all commercial herbal products."
The patient receives levodopa and carbidopa (Sinemet). What will the best teaching by the nurse include as relates to this medication?
1. Avoid drinking caffeinated beverages. 2. Take the medication with meals. 3. Take the medication on an empty stomach. 4. Take the medication with a protein food.