Why are nursing care plans developed and used?
A. To establish a format from which nursing interventions can be scientifically tested
B. To comply with the Joint Commission on Accreditation of Health Care Organiza-tions
C. To organize and prioritize nursing care for an individual
D. To ensure input from all disciplines in planning client care
C
Client care plans assist new students and neophyte nurses to follow the steps of the nursing process and to identify the rationale for selected nursing interventions. They are not required by JCAHCO nor are they interdisciplinary.
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A nurse is assessing a pregnant woman who says she drinks 5 to 7 alcoholic drinks per week. What action by the nurse is best?
A. Advise the woman to decrease her drinking to 3 to 4 drinks per week. B. Explain that during pregnancy, alcohol in any amount can harm the fetus. C. Teach her that for women, the safe alcohol limit is 1 drink in an hour. D. Tell the woman to substitute caffeinated beverages for the alcohol.
A nurse is caring for a 73-year-old man who is receiving drug therapy. He is beginning to exhibit signs of decline in his renal system, yet his current serum creatinine level is normal
The nurse will base the patient's plan of care on the understanding that there is A) an increase in drug excretion. B) a decrease in the effectiveness of the prescribed drugs. C) an increase in the production of creatinine. D) a decrease in the amount of creatinine to be filtered.
How often would the nurse plan to wash the hair of a patient from the Black culture?
A. As needed B. After it has been oiled C. Only when dry D. Daily to maintain oiliness
Successful resolution of the goal related to deficient knowledge of the client receiving alprazolam would be:
a. Client asks appropriate questions of the nurse regarding self-administration of alprazolam as prescribed. b. Client does not sustain injury resulting from alprazolam therapy. c. Client remains compliant with alprazolam therapy. d. Client verbalizes understanding of anxiolytic medication, adverse effects, and the need for compliance.