Which is the first step of the nursing process?
a. Nursing diagnosis
b. Planning
c. Assessment
d. Evaluation
C
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Which suggestion is appropriate for the pregnant client who is experiencing heartburn?
a. Drink plenty of fluids at bedtime. b. Eat only three meals a day so the stomach is empty between meals. c. Drink coffee or orange juice immediately on arising in the morning. d. Use Tums or Alkamints to obtain relief, as directed by the health care provider.
Which statement by a patient would the nurse interpret as willingness to collaborate in the nurse–patient relationship?
a. "I know you are here to help me, and will do whatever you tell me to do." b. "I didn't want to deal with this at first, but I'm glad you made me face it." c. "I realize that I have some issues that I need help resolving." d. "I will do anything to get out of this hospital."
The client with a history of alcohol abuse is being discharged. The physician has prescribed disulfiram (Antabuse). The client asks about the action of the medication. Which of the following statements by the nurse is most correct?
1. "The medication will help curb your craving for alcohol". 2. "The medication will reduce the anxiety you might experience during this difficult time.". 3. "The medication will prevent seizures and other symptoms of withdrawal.". 4. "The medication will prevent your body from breaking down alcohol.".
A patient is receiving IV amphotericin B (Fungizone) for a systemic fungal infection. Which assessment parameter does the nurse perform to determine whether the patient is having an ad-verse reaction to the therapy?
a. Measure abdominal girth for presence of ascites b. Assess mouth and oral cavity for candidiasis c. Assess infusion site for phlebitis d. Assess calves for pain