The nurse performing a routine assessment is evaluating the client's activity. Which should the nurse include in the assessment? Select all that apply.
A. Location of the call light.
B. Environmental hazards.
C. Body posture and position.
D. Level of consciousness.
E. Presence and use of assistive devices.
Answer: E
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A patient is responding to a microbial invasion and the patient's differentiated lymphocytes have begun to function in either a humoral or a cellular capacity. During what stage of the immune response does this occur?
A) The recognition stage B) The effector stage C) The response stage D) The proliferation stage
To manage resistance to change, the change agent may use which strategy?
1. Defend the status quo. 2. Provide evidence to challenge the status quo. 3. Reject opposition to the plan. 4. Eliminate from the organization those who are opposed.
The home health nurse is caring for a patient who has been recently diagnosed with a cognitive disorder. How can the nurse best prepare the family for the patient's care?
a. Leave them literature about the disorder. b. Instruct them about the physiological changes that cause the disorder. c. Allow them time for expression of their feelings and grief. d. Discuss options for placement in a long-term care facility.
How much enema solution is usually given to an adult?
a. 100 to 120 mL b. 200 to 300 mL c. 500 to 750 mL d. 500 to 1000 mL