The nurse needs to validate which of the following statements pertaining to an assigned client?
A. The client has a hard, raised, red lesion on his right hand.
B. A weight of 185 lbs. is recorded in the chart
C. The client reported an infected toe
D. The client's blood pressure is 124/70. It was 118/68 yesterday.
Ans: C. The client reported an infected toe
You might also like to view...
The student nurse in the perinatal clinic asks why it is so important to screen women for intimate partner violence during the first prenatal visit. What information does the registered nurse provide the student? (Select all that apply.)
A. Approximately one in three women has been a victim of abuse. B. Intimate partner violence is more common than preeclampsia. C. Many women may abuse substances to cope with the violence. D. Partners abuse over 300,000 pregnant women each year. E. Violence rarely occurs for the first time during pregnancy.
Which of the following examples illustrates the nurse's failure to use flexibility effectively in professional communication?
a. Asking on the admission assessment, "You don't smoke, do you?" b. When updating a family member on a patient's condition stating, "Your wife's ABG report indicates significant hypoxia." c. Continuing to follow the agenda in a staff meeting when people are obviously upset by a recent death on the unit d. Requiring nurses to read back phone orders to physicians
Prior to getting the postsurgical patient up for the first time, the nurse should initially:
a. raise the head of the bed. b. dangle the patient's legs over side of bed. c. offer patient some fluids. d. apply gait belt to patient.
In evaluating a client's pain, which of the following would be the last step?
a. Document the pain assessment. b. Ensure that the client understands the pain scale used. c. Assess for the level of pain. d. Use an appropriate pain scale.