During the evaluation phase of the nursing process, the nurse should:
A) Have the patient provide input on quality of care
B) Discontinue surgical sutures
C) Provide a follow-up appointment for the postoperative patient
D) Document improved gas exchange with incentive spirometry use
Ans: D
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Concerning the functioning of the renal system in newborns, nurses should be aware that:
1. the physician should be notified if the newborn has not voided in 24 hours. 2. breastfed infants will likely void more often during the first days after birth. 3. brick dust or blood on a diaper is always cause to notify the physician. 4. weight loss from fluid loss and other normal factors should be made up in 4 to 7 days.
The nurse is planning daily care for two clients. One client needs postoperative teaching. The other client, who has been diagnosed with pneumonia, has a PaCO2 of 85. The nurse decides to assess the client with pneumonia first because:
1. The client needs more care than the client needing postoperative teaching. 2. The nurse can delegate postoperative teaching to an unlicensed assistive person (UAP). 3. The client with pneumonia may be experiencing respiratory distress. 4. The room of the client with pneumonia is closer than that of the client needing postoperative teaching.
A 40-year-old client was admitted to the psychiatric unit after a suicide attempt in which he was found standing on the edge of a bridge. Statements made by the client that would lead the nurse to suspect a potential imminent suicide attempt include what?
A) "How often does the night personnel make rounds?" B) "When will I be discharged?" C) "I don't want to be alone just now." D) "I'm bored. What's there to do around here?"
If you know the total amount of medication, the total volume of solution, and the volume of solution the patient has received, you can determine the
A. dosage ordered. B. weight-based amount to deliver. C. amount of medication received. D. dosage on hand.