One of the best ways for an interested clinical nurse specialist to establish an independent practice is to:

a. Act as a legal expert
b. Learn complex assessment skills
c. Market a service package
d. Serve as a liaison for community programs


ANS: C

Nursing

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A patient is suspected of having inflammation of the gallbladder, or cholecystitis. The nurse should conduct which of these techniques to assess for this condition?

a. Obturator test b. Test for Murphy sign c. Assess for rebound tenderness d. Iliopsoas muscle test

Nursing

The nurse is caring for the client who has undergone a tonsillectomy. The nurse should monitor the client carefully for:

1. intake of food and fluids. 2. excessive bleeding. 3. increased urine output. 4. progression of the respiratory infection.

Nursing

A nurse is instructing a hospitalized client with a diagnosis of emphysema about measures that will enhance the effectiveness of breathing during dyspneic periods. Which of the following positions will the nurse instruct the client to assume?

A) Sitting up in bed B) Side-lying in bed C) Sitting in a recliner D) Sitting on the side of the bed and leaning on an overbed table.

Nursing

A client has the goal statement "Client will have clear lung sounds bilaterally within 3 days." One intervention to meet this goal is for the nurse to teach the client to cough and deep breathe and have the client do this several times every 2 hours

At the end of the third day, the client's lungs are indeed clear. What should the nurse do to relate the intervention to the outcome? 1. Ask how many times per day the client practiced the coughing and deep breathing exercises. 2. Tell the client that the lungs are clear. 3. Document the assessment findings to show the effectiveness of the intervention. 4. Write this evaluation statement: Goal met, lung sounds clear by third day.

Nursing