Which actions taken by the nurse indicate an understanding of the role of the nursing process within the working phase of the therapeutic relationship? Select all that apply
A) Planning activities
B) Conducting assessment
C) Implementation of strategies
D) Identifying outcomes
E) Evaluating effectiveness
A, B, C, D, E
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A nurse is caring for a client with advanced breast cancer who is receiving androgen therapy. Which of the following signs might alert the nurse to the possibility of liver toxicity?
A) Edema of the feet B) Increase in appetite C) Clinical jaundice D) Increase in weight
A nurse explains the level of disability to a patient who was injured in a construction accident that resulted in the loss of both his right arm and right leg. This loss has affected his quality of life and ability to return to previous employment
At what level should the client be classified as being disabled? a. I b. II c. III d. IV
A surgeon prescribes heparin 2,500 mEq IM q 12 hr. What is the nurse's best action?
a. Administer the medication as prescribed. b. Clarify the medication dose with the surgeon. c. Administer the medication subcutaneously. d. Clarify the dose and route with the surgeon.
A nurse is preparing a client newly diagnosed with multiple sclerosis for discharge home from a rehabilitation center. The client has been prescribed cyclophosphamide and methyl-prednisolone
What should be included in a teaching plan for this client? A. "Take hot baths." B. "Avoid people with colds." C. "Try to use physical aids such as walkers as little as possible." D. "You may discontinue these medications when your symptoms improve."