You are approach by the health department to investigate and assess the rise in developmental disabilities in an isolated section in the community. In order to begin your assessment you gather objective data from
A) client interview—aggregate data.
B) Internet—aggregate data.
C) Internet—Wikipedia.
D) direct observation of the area.
B
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The nurse explains routine catheter care to the nursing assistant as:
a. cleansing the first 2 inches of the catheter with soap and water every shift. b. disinfecting the entire catheter with alcohol every shift. c. lubricating the catheter with antiseptic lotion every 24 hours. d. cleansing the meatal-catheter junction every 24 hours.
The nurse correctly recognizes that esophageal cancer is associated with: (Select all that apply.)
a. cigarette smoking. b. diabetes. c. hypertension. d. heavy alcohol use. e. smokeless tobacco.
The client has complained of stiffness and muscle tension in his back. The nurse suggests a back rub, but the client declines the offer. What action should the nurse take?
1. Encourage the client to accept the back rub, saying how much it will relax the back muscles. 2. Document that the client is noncompliant with the nursing plan of care. 3. Accept the declination but tell the client to call if he changes his mind. 4. Instruct the UAP to rub the client's back while assisting him to change into a clean gown.
A client tells the nurse that they have been experiencing emotional distress over the past few weeks. Which physical assessment finding should the nurse anticipate?
A. Pinpoint pupils. B. Elevated blood pressure. C. Hyperactive bowel sounds. D. Elevated temperature.