The LPN/LVN understands the four activities involved in assessment include Standard Text: Select all that apply
1. Gathering information about a client
2. Organizing data
3. Documenting data
4. Measuring responses to nursing interventions
5. Validating data
1,2,3,5
Rationale 1: Data collection is a systematic process of gathering information about a client.
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A nurse admits an older adult client to the hospital. Which criterion should the nurse use to determine if the client can make his own medical decisions? (Select all that apply.)
a. Can communicate his treatment preferences b. Is able to read and write at an eighth-grade level c. Is oriented enough to understand information provided d. Can evaluate and deliberate information e. Has completed an advance directive
Which observation made by the nurse suggests that a patient is having difficulty swallowing?
1. Drooling 2. Cheilosis 3. Long furrowed tongue 4. Unintentional weight loss
The following statements are on a patient's nursing care plan. Which of the following statements is written as an outcome?
a. The patient will verbalize a decreased pain level less than 3 on a 0 to 10 scale by the end of this shift. b. The patient will demonstrate increased mobility in 2 days. c. The patient will demonstrate increased tolerance to activity over the next month. d. The patient will understand needed dietary changes by discharge.
A pregnant client is receiving treatment for hyperthyroidism. Which of the following medications would the nurse expect to see?
1. Levothyroxine 2. Methimazole 3. Propylthiouracil 4. Radioactive iodine