The nurse is assessing a client's activities of daily living. Which of the following will be included in this nurse's assessment? (Select all that apply.)

1. Nutrition
2. Elimination
3. Sleep
4. Self-identity
5. Cognition
6. Values


1, 2, 3, 5
Elements of activities of daily living include nutrition/metabolic patterns, elimination patterns, activity/exercise patterns, sleep/rest patterns, and cognition/perception patterns. Self-identity is included within the psychosocial history. Values is an independent section within the health history.

Nursing

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The nurse is caring for a patient who developed a pulmonary embolism after surgery. Which goal statement is the highest priority for the nurse to include in the patient's care plan for the diagnosis Impaired gas exchange r/t impaired pulmonary blood flow from embolus?

a. The patient will maintain pulse oximetry values of at least 95% on room air. b. The patient will verbalize understanding of ordered anticoagulants. c. The patient will report chest pain of no greater than 3 on a 1-10 scale. d. The patient will ambulate 50 feet in hallway without shortness of breath.

Nursing

When caring for a client with a dissociative disorder, the mental health nurse knows that the family must be included in the plan of care. What is an appropriate outcome for the family of a client with a dissociative disorder?

A) Demonstrates unconditional support of the client and of the family unit B) Verbalizes realistic expectations for the client's behavior and treatment process C) Willingly participates in pharmacotherapy of the client D) Supports the client in all stages of recovery process including cure

Nursing

Which type of dressing absorbs excess fluid from the wound?

a. Tertiary b. Primary c. Secondary d. Simple

Nursing

The manufacturer's instructions for an autoclave (sterilizing unit) in a clinic specify that the autoclave must reach a temperature of 121°C under 15 pounds per square inch of pressure for a minimum of 15 minutes to ensure sterilization. The technician who is doing routine maintenance on the machine will check the operating temperature using a Fahrenheit thermometer. If the autoclave is working properly, the temperature should be ________ (round to the nearest tenth).

Fill in the blank(s) with the appropriate word(s).

Nursing