A nurse is devising a care plan for a client with complex health issues and current acute health problems. Nursing interventions must meet which of the following criteria?
1. Congruent with the client's values, beliefs, and culture.
2. Within established standards of care.
3. Based on scientific and medical knowledge.
4. Achievable with the resources available.
5. Must be safe and appropriate for the client's age.
Correct Answer: 1,2,4,5
Rationale 1: This is a recognized guideline.
Rationale 2: This is a recognized guideline.
Rationale 3: The plan must be based on nursing knowledge and experience or knowledge from relevant sciences (based on rationale).
Rationale 4: This is a recognized guideline.
Rationale 5: This is a recognized guideline.
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The pediatric nurse is teaching a young mother prodromal signs of communicable diseases at an in-home visit. The nurse knows that the mother understands the prodromal signs and symptoms when she states:
1. "I will watch for coryza and vomiting to begin.". 2. "I will need to watch for cough, coryza, and fevers.". 3. "I will need to watch for a change in behavior and a low-grade fever.". 4. "I will watch for a rash, fever, and vomiting.".
MC The nurse at an elementary school in the community has developed an integrated program of health promotion and health surveillance, which has resulted in much
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a. monitor for orthostatic hypotension b. take the pt's apical pulse prior to administration c. feed meals 45-60 min after administration d. drink at least 8 glasses of water each day