Which of the following entries is documented correctly?
a. At 0900 hours, a triple lumen catheter was inserted.
b. The catheter is draining appropriately.
c. The patient is more comfortable now that the chest tube has been inserted.
d. At 0900 hours, Dr. Green inserted a chest tube in the right pleural cavity.
D
The correct entry includes the time of the procedure, who performed the procedure, and uses correct anatomic landmarks. In option "b" the term appropriately is subjective and judgmental. In option "c" the phrase more comfortable is vague and uses judgmental language.
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An older adult patient has been treated for a venous ulcer and a plan is in place to prevent the occurrence of future ulcers. What should the nurse include in this plan?
A) Use of supplementary oxygen to aid tissue oxygenation B) Daily use of normal saline compresses on the lower limbs C) Daily administration of prophylactic antibiotics D) A high-protein diet that is rich in vitamins
In the ICU setting, a patient transported from surgery following open heart bypass grafting will likely have his core temperature measured by a/an
A) rectal tube inserted to prevent evacuation from bowels while recovering from anesthesia. B) temperature probe taped behind his ear. C) esophageal flexible thermometer monitoring aorta distention. D) pulmonary artery catheter being used to measure cardiac output.
How does Watson describe caring consciousness in nursing?
A) A relationship with patients based on process B) Physical presence with patients C) Touching patients when giving care D) Listening to the patient
A school nurse planned a health promotion program on character development for a group of seventh-graders. Which behavior most likely prompted the school nurse to develop the program?
a. Increased teacher involvement b. Manifestations of students' trust of each other c. Students' increasing use of sexual language while walking down the halls d. Decrease in sexual activity among teens