A hospice nurse is visiting a client who is being cared for by her daughter in her daughter's home. The client is no longer able to answer questions. The daughter is concerned that her mother may still be in pain
What assessment data may indicate that the client is in pain?
A) Moaning while being turned
B) Cool, dry skin
C) Cheyne-Stokes respiratory pattern
D) Cyanotic feet and lower legs
A
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What should influence the nurse executive most heavily in assessing the organization's philosophy for nursing services for possible revision?
A) Consumer surveys B) Financial resources C) Mission statement D) Policy statements
A client asks the nurse how anthropometric measurement is obtained. Which information should the nurse provide to the client?
A. The measurement estimates skinfold thicknesses. B. The assessment includes any scientific measurement of the body for nutritional analysis. C. The assessment is obtained by subtracting the height in centimeters from the weight in pounds and multiplying by two. D. The measurements include the use of growth chart evaluations using height and weight.
The nurse has opened the sterile supplies and donned two sterile gloves to complete a sterile dressing change, a procedure that requires surgiacal asepsis. The nurse must do which of the following?
a. keep splashes on the sterile field to a minimum b. cover the nose and mouth with gloved hands if a sneeze is imminent c. Use forceps soaked in a disinfectant d. consider the outer 1 inch of the field as contaminated
The nurse is reviewing care provided to a client. Which behavior indicates that the nurse is using critical thinking?
1. Administers prescribed medications 2. Studies the results of diagnostic tests 3. Individually analyzes client problems 4. Documents responses to care provided