The nurse measures a client's vital signs according to agency policy, as well as:(Select all that apply) Standard Text: Select all that apply
1. Before discharge
2. At least every six hours if the client has had an elevated temperature within the past 24 hours
3. Before calling the physician
4. Before transfer to a new unit
5. On admission to a facility
1,3,4,5
Rationale: The nurse measures the client's vital signs prior to discharge to ensure the client's condition has not changed
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A woman vows to quit smoking and drinking immediately upon the surprising news that she is 2 months pregnant. Which of the following concerns would the nurse have for this woman?
a. Those with whom she shares living quarters might smoke or drink. b. Fetal damage may already have occurred. c. Peers may encourage her to resume old habits, and peer pressure is very strong. d. She won't be able to keep her vow.
A client develops postpartum hematoma as a result of prolonged pressure during labor
What are the initial nursing considerations for postpartum hematoma? A) Avoid giving an analgesic to the client B) Apply warm compresses at the perineal area C) Perform incision and ligation of a blood vessel D) Assess perineal area for discoloration and swelling
Efficiency focuses on time or speed in performing tasks and minimizing the waste or unused input during productions. How can nurses promote efficiency?
1. Evaluating how well a program of service achieves what was intended 2. Trying new products provided by sales representatives 3. Using time wisely by delegating non-nursing tasks to unlicensed care providers 4. Setting up a clinic to look aesthetically pleasing to clients
The adaptations of a client with complete heart block would most likely include:
A. Nausea and vertigo B. Flushing and slurred speech C. Cephalalgia and blurred vision D. Syncope and slow ventricular rate