Once the client has been receiving home care for a period of time, the nurse is able to evaluate the effectiveness of the education and interventions provided
The responsibility for assurance that the client is receiving prescribed therapy at the appropriate times belongs to which of the following? A)
Client's spouse
B)
Nurse
C)
Physician
D)
Client
B
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The nurse has chosen the nursing diagnosis Ineffective Breathing for a patient with muscular dystrophy. Which interventions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Assess the gag reflex before administering food or fluids. 2. Encourage frequent rest periods during daily activities. 3. Teach pursed-lip breathing. 4. Assess capillary refill. 5. Observe for use of accessory muscles.
The nurse gave each participant a health-risk appraisal tool to determine the health needs of the group as a whole. What other purpose may the tool serve?
a. To assess the needs of the broader community b. To demonstrate the necessity of having health education programs c. To motivate participants to consider changing high-risk behaviors d. To provide data for future planning by the nurse's employer
Which assessment would indicate that surgical anesthesia has not been achieved for the client undergoing surgery with a general anesthetic?
1. Muscle rigidity 2. A reduction in heart rate 3. Slowed eye movements 4. Loss of consciousness
The nurse assesses the client might be experiencing toxicity from colchicine. Which statement by the client would most likely confirm the nurse's suspicion?
1. "My joints hurt more." 2. "I have nausea, vomiting, and abdominal pain every day." 3. "I don't see as well as I used to, and my taste has changed." 4. "I wake up at night with muscle cramps."