The nurse informs the physical therapy department that the client is too weak to use a walker and needs to be transported by wheelchair. Which step of the nursing process is the nurse engaged in at this time?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
Ans: C. Implementation
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Water is absorbed in which portion of the intestine?
A) Duodenum B) Jejunum C) Ileum D) Colon
A nurse in the postanesthesia care unit (PACU) is caring for a 56-year-old male patient who had a hernia repair
The patient's blood pressure is now 164/92, he had no history of hypertension prior to surgery, and his preoperative blood pressure was 112/68. The nurse knows that hypertension following surgery is often related to: A) Dysrhythmias, blood loss, and hyperthermia B) Electrolyte imbalances and neurologic changes C) A parasympathetic reaction and low blood volumes D) Pain, hypoxia, or bladder distention, which all cause sympathetic stimulation
A patient is being discharged on long-term oral anticoagulant therapy for arterial thrombus formation in the lower extremity. What should be included in this patient's discharge instructions?
1. Slight bleeding from the nose is expected. 2. Contact the physician's office for follow-up laboratory studies. 3. Pain in the limb is a sign of healing. 4. Take two doses of the prescribed anticoagulant if a dose is missed one day.
A nurse is caring for a client who has undergone uterine dilation and curettage. What nursing care measure should be employed when caring for this client?
A) Avoid the administration of analgesics. B) Instruct the client to change the vaginal gauze frequently. C) Monitor the client for signs of urinary retention. D) Report to the physician if the vaginal discharge is bloody.