Your health care facility requires you to chart using international time. Your entry for 12:15 PM should document which of the following times?

A. 1215
B. 2415
C. 0015
D. 0215


Answer: A

Nursing

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A nurse and an adolescent female client develop a plan of care together that addresses the client's difficult relationship with her parents

The client says that her parents just don't understand her, and she is always getting privileges taken away for not doing things that she is supposed to do. What is the nurse's best action? a. Talk with the client about how important it is that she carry through with actions that her parents feel are important. b. Identify two priority responsibilities that are agreed upon between the client and her parents, and monitor her ability to comply with the plan for 1 week. c. Discuss with the parents what responsibilities they feel are important, to determine what actions should be planned with the client. d. Identify what the client feels are reasonable responsibilities.

Nursing

Brad is 45 years old and has been working as a coal cutter in a mine for the last 25 years. He likes the job because it pays well and the same mine had employed his father

Like many of his colleagues, Brad has had problems with a chronic cough. He has avoided his annual checkups for fear that he will be told he has "black lung" or coal worker's pneumoconiosis. The disease causes fibrosis, decreased diffusing capacity, and permanent small airway dilation. In later stages, pulmonary capillaries, alveoli, and airways are destroyed. How can the disease described above create a mismatch between ventilation and perfusion? Use your understanding of alveolar dead space and physiologic shunt to explain your answer. Individuals with chronic obstructive pulmonary disease have more difficulty exhaling than inhaling. Why is this so? In general terms, what mechanisms in lung disease can affect diffusing capacity across alveolar membranes? Use the Fick law to explain your answer.

Nursing

Marasmus (protein-calorie malnutrition) differs from kwashiorkor in that

a. adults are not affected. b. emaciation is more severe, but edema is not present. c. malabsorption disorders are the predominant cause. d. older children are primarily affected.

Nursing

The physician has changed the medications for the child with asthma to salmeterol (Serevent). The mother asks the nurse what this drug will do. The nurse should explain that salmeterol (Serevent) is used to treat asthma because the drug

1. is an anti-inflammatory. 2. decreases mucous production. 3. controls allergic rhinitis. 4. is a bronchodilator.

Nursing