The nurse accepts which of the following as proper legal documentation of complete bedrest for three days?
1. CBR for three days
2. CBR X3d
3. BR for three days
4. CBR for 3d
1
Rationale: CBR is complete bedrest, and is an acceptable abbreviation. Three days should be written out because X3d could be misinterpreted.
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Which action is most important to perform the first time a patient receives intravenous chemotherapy?
a. Close the door to the room and do not let children visit. b. Wear a gown, mask, and gloves while taking vital signs. c. Stay with the patient during the first 15 minutes of the infusion. d. Be sure that two units of blood for the patient are on the unit before starting the infusion.
The postpartum nurse is planning discharge teaching for the postpartum mother, who has two other children at home. What is the best way to provide instruction to this patient?
1. Provide all information while discharging the patient. 2. Provide written discharge material only. 3. No teaching is required, as this is not the patient's first postpartum experience. 4. Deliver information a little at a time and repeat it until discharge.
Which expected outcome demonstrates the effectiveness of a plan of care to promote rest and sleep?
A) Verbalizes inability to sleep without medications B) Continues to read in bed for hours each night C) Identifies factors that interfere with normal sleep pattern D) Reports minimal improvement in quality of rest and sleep
A 28-year-old female client is brought to the mental health unit accompanied by her
mother. The mother reports that the client exhibits irritability and marked impulsivity. The healthcare provider suspects the client has borderline personality disorder and instructs the nurse to observe the client's behavior. What symptom should the nurse look for in the client? A) Suicide gestures and self-injurious behavior B) Excessive emotion and attention-seeking behavior C) Need for admiration and lack of empathy D) Inability to stay with other people