MC Nursing care plans should be updated at least
A. Prior to discharge.
B. When a new nurse is assigned to the client.
C. Every 24 to 48 hours.
D. Each time a new problem arises.
C
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The nurse records and notes all potential fluid output from a client, including: Standard Text: Select all that apply
1. Feces. 2. Urine. 3. Perspiration. 4. IV fluids. 5. NG tube feedings.
Which of the following statements is true regarding a nurse's job description?
a. As long as the nurse follows the American Nurses Association Standards of Care, the job description is irrelevant in a negligence allegation. b. Job descriptions must be reflective of the accepted standard of care. c. Institution-specific job descriptions are not legally acceptable. d. Job descriptions should be vague in describing nursing functions to avoid claims of negligence.
The nurse explains to a 43-year-old patient with a benign tumor in her right breast that a benign tumor differs from a malignant tumor in that benign tumors:
a. do not cause damage to adjacent tissue. b. are simply an overgrowth of normal cells. c. do not spread to other tissues and organs. d. frequently recur in the same site.
The nurse is assessing a patient. Which assessment would cue the nurse to the potential of acute respiratory distress syndrome (ARDS)?
a. Increased oxygen saturation via pulse oximetry b. Increased peak inspiratory pressure on the ventilator c. Normal chest radiograph with enlarged cardiac structures d. PaO2/FiO2 ratio > 300