MC Both the teaching and discharge plan for a client can be developed by which of the following?
A. RN
B. RN or LVN/LPN
C. Physician
D. Social worker
A
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Why should a nurse promptly administer a prescribed analgesic after a pain assessment?
a. The physician has ordered it b. It is an efficient use of time c. Unrelieved pain can cause setbacks d. It meets the goals of the nursing care plan
Which of the following characterize decerebration, a result of bilateral diencephalic injury? Select all that apply
a. Arm extension d. Plantar flexion of feet b. Arm flexion e. Teeth clenching c. Back and neck arching f. Dorsiflexion of feet
The nurse has tested the pH of urine from a patient's newly created ileal conduit and obtained a result of 6.8. What is the nurse's best response to this assessment finding?
A) Obtain an order to increase the patient's dose of ascorbic acid. B) Administer IV sodium bicarbonate as ordered. C) Encourage the patient to drink at least 500 mL of water and retest in 3 hours. D) Irrigate the ileal conduit with a dilute citric acid solution as ordered.
The nurse assesses for the most common manifestations of a post-traumatic brain abscess, which are
a. headache and lethargy. b. photophobia and dizziness. c. muscle spasms and tingling. d. sluggish pupillary reactions.