What is one of the major changes in health care in the 21st century?
A) Patient/client-centered care
B) Decreased use of technology
C) Decreased personal responsibility for health
D) Social determinants of health
A
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A patient with fluctuating levels of awareness, confusion, and disorientation shouts, "The bugs, they are crawling on my legs! Get them off me!" The nurse's inspections show that no insects or other possible causes of the patient's
perceptions are visible. The nurse can best assess this presentation as: a. perseveration. b. hypermetamorphosis. c. tactile hallucinations. d. tactile illusions.
A nurse is providing care for a female patient who remains unconscious following an ischemic stroke that she suffered 4 days ago
When providing eye care to remove mucus and debris from the eye, the nurse should use which of the following techniques? A) Use a cotton swab to gently clean from the outer (lateral) canthus to the inner (medial) canthus of each eye. B) Use a gentle up-and-down motion to cleanse each eye with a cotton ball, using a different cotton ball for each eye. C) Use a cotton ball or small gauze to wipe from the outer canthus to the inner canthus of each eye. D) Using one cotton ball for each eye, wipe from the inner to outer canthus of each eye.
The nurse observes early decelerations on the fetal monitor. What action should the nurse take?
a. Document the observations. c. Change the woman's position. b. Administer oxygen via mask. d. Check the maternal vital signs.
A client who has a lower motor neuron injury experiences a flaccid bowel elimination pattern. Which action does the nurse implement to assist in relieving this client's constipation?
a. Pouring warm water over the perineum b. Tapping the abdomen from left to right c. Administering daily tap water enemas d. Implementing a consistent daily time for elimination