When admitting a woman to the hospital, the nurse asks if she has problems feeding herself since she had a stroke. She denies any problems and states that she does not require assistance
After lunch, the nurse notes that she has not eaten most of her food and has spilled much of what she did attempt to eat. These cues lead the nurse to believe that she is not functioning at the level she indicated upon admission. The nurse was using which of the following to make this deduction? A. Verbal behavior
B. Physical assessment
C. Nursing diagnosis
D. Nonverbal behavior
D
Observation of level of function is different from what a nurse learns about function during the interview. A nurse observes what the patient does, such as self-feeding or making a decision, rather than what the patient says he or she can do. The level of function involves a person's ability to perform during everyday activities.
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A nurse preparing to assist an adult patient to stand for the first time following abdominal surgery should:
A) Have the patient place his arms around the nurse's neck. B) Allow the patient to initially sit at the side of the bed. C) Have the patient pull up with the nurse to assist. D) Instruct the patient to push off the bed with the wrists.
Which of the following criteria would support checking blood levels for the diagnosis of diabetes mellitus?
A) Fasting plasma glucose greater than or equal to 126 mg/dL B) Random plasma glucose greater than 150 mg/dL C) Fasting plasma glucose greater than 100 mg/dL D) Random plasma glucose greater than 126 mg/dL
A nurse has a meeting with an advisory board. The nurse would recognize that which of the following is a common characteristic of advisory boards?
a. Formal authority c. Similar stakeholders b. Randomly selected d. Expertise varies
The nurse assesses a 12-hour-old newborn's serum bilirubin level and finds it to be 14 mg/dl. What nursing intervention would be included in the plan of care for this newborn?
1. Continue to observe. 2. Begin phototherapy. 3. Begin blood exchange transfusion. 4. Stop breastfeeding.