Which of the following is a necessary assumption for evaluation to occur?
a. Accrediting agencies focus on careful documentation.
b. Actions have both intended and unintended results.
c. Nursing care is dependent on the reimbursement available.
d. People expect professionals to document their care.
ANS: B
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The nurse is caring for a patient who is recovering from thoracotomy surgery. The patient's respirations are regular but very shallow. Which intervention is the highest priority for the nurse to include in the patient's care plan for the diagnosis:
Ineffective breathing pattern r/t fatigue and pain? a. Encourage the patient to use incentive spirometer after administration of pain medication. b. Ask the patient to describe prior pain experiences and effectiveness of methods used to manage pain. c. Help the patient to understand that comfort is a priority goal of nursing care in the postoperative period. d. Assist the patient to minimize the effects of pain on interpersonal relationships with family members.
When assessing the patient with diabetes for complications, it is especially important for the nurse to pay attention to:
1. Creatinine. 2. Albumin. 3. Potassium. 4. Sclera.
The client is a 50-year-old male with cancer, who has been losing weight. The nurse suggests the client eat which of the following to increase his calorie intake?
A) Use plain yogurt in place of sour cream. B) Spread peanut butter on apple slices. C) Add butter to his hot foods. D) Substitute milk for water in recipes.
You are examining a newborn and note that the right testicle is not in the scrotum. What should you do next?
A) Refer to urology B) Recheck in 6 months C) Tell the parent the testicle is absent but that this should not affect fertility D) Attempt to bring down the testis from the inguinal canal