The goal identified in the nursing care plan is that "The client will be able to wash himself after a four-week therapy session." When should the nurse evaluate the client's progress toward this goal?
a. On an ongoing basis
b. At the end of four weeks
c. Weekly
d. Before the client's discharge
A
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A Evaluation is ongoing whenever the nurse has contact with the client.
B Evaluation should be ongoing. If the nurse waits four weeks to evaluate the effects of the nursing care, the condition could have deteriorated. Evaluating the client on an ongoing basis ensures that the nurse can adjust nursing care to his needs.
C Evaluation should be ongoing. The nurse must evaluate more often than weekly in order to meet the needs of the client.
D The nurse must evaluate on an ongoing basis to assess if the needs of the client are being met.
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A public health nurse is responsible for the administration of immunizations. Which of the following guidelines regarding anaphylaxis should the nurse adhere to?
A) The patient should be observed for anaphylaxis for 1 minute after administration. B) The patient should be observed for anaphylaxis for 5 minutes after administration. C) The patient should be observed for anaphylaxis for 30 minutes after administration. D) The patient should be observed for anaphylaxis for 90 minutes after administration.
When instructing a client regarding the intake of medications prescribed by the
physician, the nurse tells the client to avoid excess intake of fluid. Which reason should the nurse give the client for avoiding excess intake of fluid? A) Medication is flushed before taking effect B) Toxic level of medication may accumulate in the body C) Harmful substances may be formed in the body D) Chemical change renders the medication inactive
The nurse should promote optimal drug effectiveness by performing what actions? Select all that apply.
A) Incorporate basic history and physical assessment factors into the plan of care B) Evaluate the effectiveness of drugs after they have been administered C) Modify the drug regimen within the nursing scope of practice to modify adverse or intolerable effects D) Minimize the number of medications administered to clients E) Examine factors known to influence specific drugs if they are to be effective
The clinic nurse sees a new patient with vague sexual complaints. Select the best question for the nurse to help the patient express these concerns more clearly
a. "What are your concerns and feelings about your sexuality?" b. "Patients are frequently embarrassed to talk about sexuality." c. "Don't be embarrassed. Our conversation is completely private." d. "As a clinician, I am accustomed to talking to patients about personal matters."