The preceptor is reviewing the use of the SBAR tool with a new nurse. Which statement made by the nurse indicates an understanding of the tool?
A. "The SBAR tool will help me organize my documentation."
B. "The SBAR tool will help me organize my shift report."
C. "The SBAR tool will help me organize my client's problems."
D. "The SBAR tool will help me organize the assessment on my client."
Answer: A
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While performing an assessment of a 65-year-old man with a history of hypertension and coronary artery disease, the nurse notices the presence of bilateral pitting edema in the lower legs. The skin is puffy and tight but normal in color
No increased redness or tenderness is observed over his lower legs, and the peripheral pulses are equal and strong. In this situation, the nurse suspects that the likely cause of the edema is which condition? a. Heart failure b. Venous thrombosis c. Local inflammation d. Blockage of lymphatic drainage
CPOE is an abbreviation for _______________
ANS:
An older patient has been diagnosed with having laxative dependency due to chronic laxative use. The nurse plans to educate the patient on nonpharmacologic measures to prevent constipation. What should the nurse's education plan include?
a. Increase bed rest. b. Monthly exercise. c. Increase fluid intake to 6 to 8 glasses of water daily. d. Take only one laxative a week.
A client comes into the clinic and tells the nurse he goes to an acupuncturist for pain. The nurse says he should take pain medication instead. Which of the following best describes the action taken by the nurse?
a. Cultural conflict b. Cultural blindness c. Cultural relativism d. Cultural imposition