The nurse is documenting in the nurses' notes. Which of the following is appropriate nursing documentation? Select all that apply
A) "The leg wound is erythematous and dry, measuring 2 x 4 cm." B) "18-gauge Foley catheter inserted using sterile technique with 200 mL of urine returned. Client tolerated procedure without complaint." C) "The doctor circumcised the client." D) "Client's mother was rude to the respiratory therapist." E) "I gave the client morphine for her pain."
A, B
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What is the nurse's best advice to a parent about a preschooler's "imaginary friend"?
a. Having imaginary friends is a sign that the child has low self-esteem. b. It is common for preschoolers to have imaginary friends. c. Preschoolers invent an imaginary friend when they feel overwhelmed. d. The best approach to dealing with an imaginary friend is to ignore them.
A nurse would observe the client for how long to determine whether there is an immediate reaction to a skin test?
a. 1 to 2 minutes b. 2 to 5 minutes c. 5 to 10 minutes d. 10 to 20 minutes
The nurse monitors body mass index and weight in clients taking second-generation antipsychotic medications because of the risk of which of the following side effects?
A) Neuroleptic malignant syndrome B) Parkinsonism C) Metabolic syndrome D) QT prolongation
Which of the following biochemical disturbances does NOT occur in insulin-dependent (type 1) diabetes mellitus?
A. Elevated blood glucose B. Excretion of glucose in the urine C. Increased secretion of insulin by the pancreas D. Overproduction of ketone bodies